Location: Gauteng
Job Type Classification: Permanent
Closing Date: Not Specified
Salary: market related
Some of the top financial service firms in South Africa are owned by TIH. We have health insurance, long-term and short-term insurers in our portfolio, along with a platform for comparing personal finance and insurance.
Job Description
JOB PURPOSE
Handle previously recorded claims quickly and precisely by using the pertinent standards to guarantee uniformity throughout the company and facilitate claim decision-making.
RESPONSIBILITIES
Internal Customer Management Assist in customer management by completing routine tasks to fulfill the customer’s request. Gathering and Analyzing Data Pose queries, gather information from many sources, evaluate facts, and look into claims. Make decisions based on predetermined standards to maintain uniformity throughout the company by correctly processing and underwriting claims. Accurately cost applicable claims on a daily basis by utilizing the right tools. Task Planning and functional adherence Create your own work schedule, engage with support services to ensure that the task is finished inside the SLA, and get the job done. Make that claims are resolved within the allotted time frame and with the proper application of the terms and conditions. Keep up with fresh and updated product information to facilitate wise decision-making. Management Create, maintain, and offer assistance with best practices for
Document Preparation
Assemble and oversee customer claim paperwork. Fill out insurance claim forms or other relevant paperwork, then make sure everything is correct. Input data about claims into database systems. Reimburse minor claims. Compute the claim’s quantum amount. Provide details or an attachment to the claim file. Send in claims for additional research. Speak with the insured or other relevant parties to find out what information is missing. Examine the insurance policy to find out what is covered. Arrange or handle comprehensive office documents, use computers to input, access, look up, or get information. Give minimal guidance on how to proceed with claims or pointers to nearby contractors or auto repair shops as examples of customer service. Complete claims and inform the client of the result. Pay attention to and record customer talks. Ask to Have a Conversation with a Client Retrieve Conversation with Client Replace or repair vouchers 15 minutes to load and act
TECHNICAL COMPETENCIES
Emphasis on the Customer creates enduring ties with customers and provides solutions that are focused on them. Decision Quality: Makes wise choices quickly to keep the company moving forward. Controls Intricacy interprets complicated, copious, and occasionally contradicting data to solve issues in an efficient manner. Motivates Outcomes consistently produces outcomes, even under difficult situations. Having Resilience recovers from obstacles and misfortune when confronted with challenging circumstances. Effectively handles dispute situations with the least amount of noise possible. Effectively Communicates creates and distributes multimodal messages that demonstrate a thorough comprehension of the particular requirements of various audiences. Maintains Accountability holds oneself and other people responsible for keeping promises. Schemes and Coordinates Sets priorities and plans tasks to fulfill obligations in line with company objectives.
Job Requirements
General Education
Matric / Grade 12/ SAQA Accredited Equivalent (Essential)
General Experience
Experience in the financial services sector for a minimum of one year is required.
Experience at a call center (essential)
Experience with STI (Beneficial)
Experience with claims for one or more years is required.
How to Apply?
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