Claims Technician

COMPETENCIES REQUIRED TO PERFORM OUTPUTS AND ROLES ASSOCIATED WITH THESE OUTPUTS

Duties:



Registering of new claims:


Register all new claims received (as outlined in the registration SOP) and raise an appropriate reserve as outlined in the reserving methodology. All claims received must be registered on the claims system within 24 hours.
All claims received after 15:00 must be registered before 12:00 on the following business day
Action any immediate claims processing requirements in accordance with the relevant Claims procedure manual i.e. Appointment of specialist (assessor/adjuster/repairer/supplier)
Diarise all newly registered claims for the next appropriate action date i.e. to follow up on specialist report/ outstanding documentation to ensure claims processing happens timeously
Continuously update the claims activity TAB in respect of all actions taken on the claim
Regular liaison and communication with broker/ client on progress of the claim
Actioning of Queries (telephone and email):
Attend to all queries received relating to "in-progress" claims timeously as per company turn-around times
Action any claims processing requirements on receipt of new claims information, within the prescribed company turn-around times
Amend reserves in accordance with reserving methodology and new information received
Diarise all "in-progress" claims for the next appropriate action date to ensure claims processing happens timeously
Continuously update the claims activity TAB in respect of all actions taken on the claim
Regular liaison and communication with broker/ client on progress of the claim




Action current day diary/ User note/ :


Attend to all current day diary and user note items timeously as per company turn-around times
Action any claims processing requirements as outlined in the diary or user note item, within the prescribed company turn-around times
Amend reserves in accordance with reserving methodology based on the action of the diary or user note item
Re-diarise(where necessary) all "in-progress" claims for the next appropriate action date to ensure claims processing happens timeously
Continuously update the claims activity TAB in respect of all actions taken on the claim
Regular liaison and communication with broker/ client on progress of the claim

"In-Progress"/ Outstanding claims:


Action any claims processing requirements in respect of the "In-Progress"/ Outstanding claims as per the target provided by the Team Leader. (daily)
Amend reserves in accordance with reserving methodology based on the action required on the claim
Diarise (where necessary) all "in-progress" claims for the next appropriate action date to ensure claims processing happens timeously
Continuously update the claims activity TAB in respect of all actions taken on the claim
Regular liaison and communic