Job Title : Travel Claims Specialist
Sector Title : Insurance
Area : Johannesburg
APPLY FOR THIS JOB
The successful candidate would be responsible to process and pay claims timeously and accurately and within policy cover
Key Performance Areas
Effective Processing of Claims
Prioritise daily activities to enable processing and maintenance of all claims
Check the accuracy of registered claims cover details and add claimant details timeously
Validate the policy and confirm estimate is accurate deducting excess to work out estimate of claim through investigating policy cover
Acknowledge receipt of the claim and provide the claimant with a claim reference number within 24 hours
Obtain necessary documents/assessors report and make amendments to estimates ensuring authorization within policy cover
If required inform other relevant departments of claims eg recoveries salvages etc
Accurate assessment of the claim
Deal with and ensure resolution of queries on an ongoing basis
Continually update and maintain diary system
Draw payment on relevant system ensuring accuracy of banking details invoice number VAT numbers class allocation client release etc
Ensure letters are forwarded to the client / travel agent demonstrating breakdown of payments
Review all open files every two weeks by assessing check reports and claims not processed report
If encounter system problems log calls timeously with relevant department
Effective Customer Focus and Service
Liaise with internal stakeholders to facilitate problem resolution and efficiency of work activities
Communicate with stakeholders on a daily basis to inform of progress of claims and claim policy and procedure
Deal with and resolve any queries relevant to area if unable to resolve escalate to manager for resolution
Represent the organization through maintaining high levels of professionalism service excellence and customer excellence
Adhere to internal policies processes and procedures
Effective Adherence to Company Claims Policy Standards and SLA
Ensure adherence to all company policies at all times
Complete register accurately on a daily basis
Ensure adherence to negotiated flexi hours
Maintain dress code behaviour and absenteeism
Relationships
Internal
Internal Assessors
Document centre
Travel agents and team leaders
Policy admin department
Sales office
External
Brokers / Travel Agents
Clients
Suppliers
Loss adjusters
Assessors
Requirements
Matric/equivalent
Minimum 3 to 4 years experience in Travel Insurance Claims
Life medical insurance experience a benefit
FAIS Compliance
COP
Sound knowledge experience and understanding of shortterm insurance specifically the Travel Insurance Industry
Travel Insurance Claims Handling skills
Clear understanding of Financial Services compliance framework
Knowledge of relevant IT systems
Computer skills
Administrative skills
Telephone skills
Communication skills
Salary Market related based on qualifications and experience
Please forward updated resume in MS Word with your application Note if no correspondence is received within 6 weeks of your application please consider your application as unsuccessful