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Claims Technician

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1 year ago472 views

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General Details

Location:

Johannesburg CBD, Johannesburg

Advertised By:Agency

Company Name:Empire Recruitment

Job Type:Full-Time

Description

Our client is looking for a confident Claims Tech who is able to function well under pressure. The role requires the skills and experience stated below:

Qualifications and Experience:

5 years’ experience in all classes of commercial
Marine experience is a bonus
RE5 is essential

https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8yMTA5NDY2NjE1P3NvdXJjZT1ndW10cmVl&jid=1484172&xid=2109466615

Id Subtitle 1182743128

Empire Recruitment

Selling for 2+ years

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Identify fraud trends and continuously develop process improvements and mitigation controls to support the Group Business. Proactively engage with key stakeholders both internally and externally to gather intelligence and create and develop relationships with key organisations. Responsibilities of the Role: Successfully lead a team of Investigation Officers by providing quality regulatory technical expertise, case direction and excellent operational management to ensure assurance procedures, file and document reviews etc.Maintains an overview of all cases within the team to provide expert technical guidance and case direction and ensure the work is always of high quality and that there is a consistent, timely approach taken with each case.Responsible and accountable for high-quality and timely case progression within the team.Provides regular case updates/reviews to senior managers and key stakeholders, especially in relation to high profile and sensitive matters.Positively and proactively contributes as part of the Investigation leadership team in implementing changes and improvements as appropriate.Ensure that reports and documentation are produced to the highest standards, which will stand up to the scrutiny of the Section 91 Tribunal and Courts - supporting and coaching Investigation Officers as required.Effectively manage and motivates the team/individuals by providing clear communication, robustly managing performance/providing timely constructive feedback (regular reviews) and supporting/coaching individuals to improve and fully engage in their own development and learning.Work collaboratively across the organization and demonstrate a positive and proactive approach to achieving organisational objectives, including providing expertise and taking responsibility for leading on projects and priorities.Investigations are outcomes-focussed, timely and a risk-based approach is developed and executed for each investigationInterpret policy and decisions to stakeholders for effective communicationRepresent the company at various forums and interact with other stakeholdersIdentify and report falsified claims to the Legal Operations for recovery purposesIdentify fraud trends by analysing data and industry alertsIdentify suspicious activity and work with appropriate teams to investigate and thwart the activityProvide statistical data on losses on a regular basisDevelop processes and procedures to prevent or minimise claims fraud lossesEnsure Service Level Agreement and turnaround times of external serviceproviders and internal investigators are adhered to Identify key risk indicators and establish mitigating controlsEnsure that expenditure is incurred within the limits of the sanctioned budgetEnsure that new r... https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8yOTYyMDc0MzMxP3NvdXJjZT1ndW10cmVl&jid=1422200&xid=2962074331

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CAREER OPPORTUNITYAn exciting opportunity exists for a Commercial Team Manager to join the Claims Department. This position is based in Centurion. JOB DESCRIPTIONDuties and Responsibilities:• Deliver exceptional client service that exceeds customers’ expectations through proactive, innovative, and appropriate claims handling.• Handling of performance related issues and disciplinary matters.• Manage, support and developing a team of people to ensure service delivery and performance management applied consistently.• Manage people related matters i.e., attendance, absence, and attrition (staff turnover) within the team to ensure service level contributions are met or exceeded.• Weekly team meetings, participation on one-on-one discussion and other meetings required from time to time.• Demonstrates an effective communication style, that motivates, across internal and external teams and individuals that may become involved with claim tasks.• Identify, investigate, and resolve any challenges relating to claims being handled in line with claims policies and procedures such as SLAs and TAT.• Meeting of set deadlines.• Managing team’s task adherence (diary, message, and email management)• Monitoring immediate first call resolution within the claims department.• Management of outstanding claims monthly. (Outstanding listings)• Authorise and validate claims that does not fall in the staff mandate.• Ensure compliance in terms of Under Supervision and record keeping.• Liaising, build excellent relationships and ensure accurate and timeous response to brokers and clients on queries.• Monitor effective use of approved suppliers and adherence to contracted rates to improve loss ratios.• Auditing of claims within your team monthly• Monitor equal distribution of claims.• Analyse training needs: identify possible problem areas and change weakness into strength.• Provide supporting reports and information to Claims Portfolio Manager to compile feedback to Executive Head• Ensuring client satisfaction improvement: QA processes/CSI scores/Complaints Root Cause Analysis.• Provide policy wording interpretation.• Courteous and professional attendance to telephonic queries.• Deliver strategic results in term of the Vision and Mission.• Align own behaviour with the organisation culture and values.• Demonstrate commitment toward the team and participate in building team culture.• Collaborate and work closely with all role-players thereby leveraging constructive team dynamics and innovation.• Identify and recommend enhancements to processes.• Monitoring of call pause procedures and availability within the department together with managing the contact centre.• Proactively ensure the most effective use of time, resources, money, materials, or equipment in line with policies and pr... https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS85OTY2NTQ4Mjg/c291cmNlPWd1bXRyZWU=&jid=1749150&xid=996654828

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Role Purpose Develop, maintain and support mission-critical, enterprise-grade software applications that improve business efficiency and are aligned to the enterprise architecture and business strategy. This position will challenge software engineering as well as people skills. From a software engineering perspective, you will have the opportunity to solve and design complex integration patterns. Various technologies are used within this space of which the major ones are Java EE, Maven, Jenkins CI, Docker, Amazon Web Services, Oracle, WebSphere Liberty, Angular, AIX and Linux. Development challenges will include new software development as well as maintaining current software, including modernisation of platforms with minimal impact on business. From a people perspective you should be able to operate on your own and within a team setup, depending on the projects you will be involved. Knowledge sharing is key to the role and technical guidance as well as mentoring of junior to intermediate developers will be expected. Responsibilities and work outputs • Develop software based on technical design (Internal Process). • Keep abreast of new technologies/methodologies, business changes and internal system changes in order to align system development with best practices and system architecture. • Collaborate with stakeholders to gather requirements, conduct analysis and prioritise requests.• Contribute to the design of scalable solutions that supports the system architecture. • Translate business requirements into workable solutions and document solution into technical specifications. • Design and code new software functionality using code that is scalable, readable, maintainable and re-usable. • Develop and maintain productive working relationships with peers and organizational and role players to achieve effective collaboration. • Provide stakeholder with regular feedback on the technical design and timelines for solution in order to manage expectations. • Collaborate with business analysts and testing team in developing, testing and deploying new software system components or software system enhancements. • Collaborate with testing team to co-create test cases. • Conduct System Integration Testing (SIT) and User Acceptance Testing (UAT) and resolve all issues/queries. • Contribute to user acceptance testing (UAT) and training material. • Once the solution has been successfully tested, prepare and produce releases of software components into production/live environment. • Support continuous improvement by investigating alternatives and technologies and presenting these for architectural review. • Maintain existing programmes, ensuring all errors are resolved and documented. • Advise and guide colleagues regarding effective business system analysis approaches and techniques. • Review and q... https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS80MTEzMzAzMTU4P3NvdXJjZT1ndW10cmVl&jid=1503278&xid=4113303158

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