Position Description

Title: Motor Claims Specialist
Industry: Insurance
Reporting To: Motor Claims Manager
Location: Bedfordview

Summary:

Our client based in Bedfordview are seeking an experienced MOTOR CLAIMS SPECIALIST to join their team. The main purpose of the Claims Specialist role is to validate and administrate client’s motor claims following fortuitous events. In accordance with Standard Operating Procedure, claims guidelines, the specialist’s own mandate, and the client’s policy schedule, the Claims Specialist will make claims settlement determinations.

Minimum Requirements:

• Matric (Grade 12)
• FETC (Further Education & Training Certificate) in Short Term Insurance – NQF 4 (150 credits)
• Higher Certificate in Short Term Insurance – NQF 5 or higher (highly advantageous)
• Successfully passed RE 5 (Representative Exam)
• Class of Business certification (Personal Lines & Commercial Lines) (highly advantageous)
• Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised
• Computer literate – Microsoft Word, Excel, and Outlook
• Experience working on the TIAL Operating System (System A) (highly advantageous)
• Experience in HCV (heavy commercial vehicles), Fleets and AGRI claims (highly advantageous)
• At least 5 years relevant work experience in Personal, Commercial and AGRI claims settlement
• Work experience within a licensed insurer (highly advantageous)
• Experienced in making claims settlement determinations with mandate exceeding R50 000

Duties and Responsibilities:

• Validation of claims in line with Company guidelines and Standard Operating Procedures
• Appointment of necessary providers
• Authorisations/Settlement of claims
• Rejection of claims
• Processing payments within the set turnaround time
• Payment confirmations to Brokers and Suppliers
• Assisting clients and brokers over the phone/email with claims and queries
• Complaints handling and resolution
• Liaising with service providers
• Liaising with brokers and clients

Competencies Required:

• Effective time management skills
• Effective communication and interpersonal skills
• Ability to collaborate and network with multiple parties inside and outside the company
• Must have confidence to make decisions with limited need for referral
• Must have effective conflict management skills and the ability to handle ‘tough’ conversations
• Assertiveness
• Solution oriented
• Drive and persistence
• Energetic with a positive outlook
• Must be focused, self-disciplined, and deadline driven
• Must project tenacity, professionalism and confidence
• Must genuinely enjoy interacting with people – service oriented
• Must be resilient and agile
• Ability to function independently and under pressure
• High attention to detail
• Proactive/ability to use own Initiative

Package on Offer:

• Highly negotiable based on qualifications and experience