Gap Claims Specialist
The Claims Specialist manages the assessment of claims and has specialised knowledge of the claims environment. There is a strong focus on accurately and efficiently resolving the claim received whilst ensuring exceptional customer service and satisfaction
Key Outcomes
- The accurate and efficient processing of claims captured
- Ad hoc duties- support in the operation of other divisions
- Contribute towards continuous improvement and innovation at process and procedure level
- To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time
- Contribute toward risk management
- Assist clients with queries and provide suitable query resolution
- Accurate completion of administrative targets on a daily basis
- Dealing with multiple telephonic queries from members, brokers and franchises
- Ongoing feedback to clients
- Ad hoc functions as required by Management
Qualifications
Work Experience
Required
- Insurance Industry Experience
Preferred
- Health Insurance Industry Experience
Education, Qualifications and Accreditation with Professional Body
Required
- Matric
- FAIS / RE5
Preferred
- FAIS / RE5 Accreditation with minimum 120 credits
Technical Skills or Knowledge
Required
- Computer Literate incl. Microsoft Access
Additional Information
- Accountability
- Action orientated
- Collaborative
- Communication
- Business writing skills
- Manage complexity
- Problem solving skills
- Decision thinking
- Encourages engagement
- Resilient and adaptive
- Resourceful
- Demonstrates self-awareness
- Purpose driven
- Significance and values orientated