CLAIMS LEARNERSHIP X4 (12 MONTHS)- SASRIA

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:

1. 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.

 

 

 

2. 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.

3. 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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