Job Summary
Responsible for efficiently end to end management of
claims. This involves receiving, assessing, analysing, investigating, and
settling insurance claims in a timely and accurate manner using all available
information to formulate a fair settlement to claimants.
Professionally liaising with third parties, such as investigators, insurers,
and other experts, as well as managing paperwork, preparing reports, and
liaising with customers
Job Description
Accountability: End to end management of
the Claims process. 50%
- Receive, register, manage and settle claims according to
company procedures and IRA guidelines.
- Maintain adequate initial reserves as per reserve guidelines
and participate in the periodic reserving reviews.
- Receive and assess claim documentation for ALAK products in
line with product specifications.
- Track and follow up on receipt of necessary claim
requirements.
- Ensure that claims and payments are processed within the ALAK
Claims Best Practice Guidelines.
- Proactive negotiation and appropriate resolution on claims
issues raised.
- Collaborate with internal stakeholders for improved products,
processes, and experience investigation.
- Constantly seek to improve ways of working by challenging the
status quo and supporting an empowering climate within the team, sharing
knowledge, experience, best practice and providing constructive feedback
as required.
Accountability: Deliver professional and efficient customer service to distribution partners.20%
- First point of contact for all claims related matters and
appropriate escalation.
- Build and maintain effective relationships with all internal
and external stakeholders.
- Ensure that all claims’ queries are responded to and resolved
in a timely manner.
- Adhere to the Query and complaint categorization and response
standards to ensure client queries and complaints are dealt and recorded
timeously, efficiently, and professionally.
Accountability: Reporting 20%
- Prepare claims management reports periodically as scheduled.
- Review claims data to identify patterns and trends.
- Conduct research and market intelligence and present in
reports.
- Prepare and present claims information to internal and
external stakeholders.
- Preparation and submission of all regulatory returns and
reports.
- Prepare Internal and external Audit reports, forecasts and
reviews.
Accountability: Reinsurance -5%
- Keep reinsurance up to date with the current reinsurance
position and work with reinsurers on contentious claims to ensure a
successful outcome.
- Ensure that treaty claims recoveries are pursued aggressively.
- Prepare Internal and external Audit reports, forecasts, and
reviews.
Accountability: Control Environment (5%)
- Delivering operational excellence in achieving quality, cost,
and service standards on assigned work from time to time.
- Ensure that all activities and duties are carried out in full
compliance with regulatory requirements, Enterprise-Wide Risk Management
Framework and internal Absa Policies and Policy Standards. Understand and
manage risks and risk events (incidents) relevant to the role.
Education
Further Education and Training Certificate (FETC):
Business, Commerce and Management Studies (Required)
How To Apply
