Job Advert Summary:
- The learner should be able to process and handle claims within the delegated authority by ensuring validity, assessing liability and negotiating settlement, whilst ensuring excellent customer service and cost containment.
- The management of claims should be within the governed framework to ensure compliance with the short term insurance regulations.
Minimum Requirements:
Minimum Qualifications:
- Matric.
Minimum Experience:
- None.
Please note that preference will be given to people with disabilities.
Duties and Responsibilities:
- Administration and Claims processing
- Perform administration functions – registration of new claims and loading (and authorization) payments.
- Examine and validate new claims and any related documentation thereof.
- Adjust claims and ensure that the merits are inline with Sasria policy cover.
- Ensure that the appropriate documents supporting the quantum are received and the calculations are correct.
- Perform document diary maintenance on IMS system.
- Update the reserve as per reserving policy and keep a regular follow-up outstanding proof of quantum.
- Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim within delegated authority.
- Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover.
- Escalate complex and contentious claims to Supervisor.
- Manage and ensure that all other external resources and handle the claim within the required procedures and Sasria philosophy.
- Update notes on the system regularly to ensure notes reflect latest status of claim.
- Inform underwriting department of gaps in cover, omitted documents as well as losses/ gains on premium.
- Handle all customer enquiries and queries promptly and in-line with policy.
- Agency/ Broker Liaison
- Negotiate the settlement of claims.
- Liaise with Agent companies and brokers regularly on the progress of the claim.
- Update all relevant stakeholders on the progress of the claim.
- Perform ad hoc tasks
- Perform any reasonable tasks as and when required by the Line Manager.
Closing date: 2025/03/04
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