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1
You will provide strategic direction and overall leadership in the total, large and complex Short Term Insurance Moto and Non-Motor Claims process. You will be responsible for achieving optimal levels of efficiency of claims operating procedures so that the highest standard of quality and customer service is maintained.
Requirements:
Matric - With MathematicsRENQF 5 in Short Term Insurance Degree in Law or Risk preferredClass of BusinessMust be FAIS compliant12-15 years of relevant work experience within Short Term Insurance Claims validations and settlement for both personal and commercial lines motor and non-motor.At least 8 years of Managerial experience at an Insurer or Risk Carrier. Experience required in process engineering, strategy development and implementation, budget management, policy wording, claims guidelines and risk acceptance.Specialist-level technical knowledge and understanding of relevant short-term insurance policy wording required.
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8xMzkyNDUxMTc1P3NvdXJjZT1ndW10cmVl&jid=1305790&xid=1392451175
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18h
1
My Short Term Insurance Client is looking for a Motor Claims Consultant.
Requirements:
MatricRe 5FETC in Short Term InsuranceHigher Certificate AdvClass of Business - Personal & Commercial linesMust be FAIS Fit and ProperMs Office Literate5 + years of relevant experience in Personal, Commercial and Agri claims settlementWork experience with a license insurer highly advantageous
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS81ODI2MDQ5Nzk/c291cmNlPWd1bXRyZWU=&jid=1283441&xid=582604979
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18h
1
The main purpose of the Claims Specialist’s role is to validate and process short-term insurance liability claims. The Claims Specialist will furthermore provide guidance and advice (legal) on the interpretation of policy wordings, coverage under the respective policies, undertake merit/liability assessments as well as quantification in respect of large and/ or complex claims, deal with litigation and assist with all complaints made to insurance regulatory bodies.
Required Qualifications
Matric Certificate – essentialRegulatory ExamA formal Degree in Law is preferred. Alternatively, a formal Degree in Risk Management or Short-Term InsuranceClass of Business certification (Personal Lines & Commercial Lines) – Highly advantageousMust be compliant with FAIS Fit and Proper requirements with a track record of working unsupervised.
At least 5-10 years of relevant work experience in claims validations and settlement (both in Motor and Non-Motor claims, as well as in both Personal Lines and Commercial Lines classes of business) or work experience in a law firm specializing in dispute resolution, litigation and insurance.At least 5 years of experience in dealing with all aspects of Liability claimsExperience in dealing with litigious mattersMust be experienced and mandated to make claims settlement determinations for large losses and/ or complex commercial claims (R 2 million or higher)Work experience within a licensed short-term insurer, or Underwriting ManagerSound technical knowledge, understanding, and practical application of relevant short term insurance product wording, including niche products such as Marine and Engineering.Experience in complaints resolution (Regulatory and OSTI related)Review and approval of rejectionsParticipation in operational claims management meetings with managers, brokers, and portfolio managers.Provide key guidance, advice, and recommendation for improvement in policy wordingsProvide governance advice in terms of the relevant legislative and regulatory regime\Ability to plan and prioritise own time and work commitments to deliver timeous claims service within agreed turnaround timesAbility to think independently and to work without supervision.Ability to take initiative and respond pro-actively and independently to situations to secure positive resultsAccepts ownership and accountability for one’s own actions and decisionsIs open to learning opportunities and is committed to continuous self-developmentAbility to communicate openly, and with impactAbility to adapt one’s communication style and content to the audience and context.Ability to easily connect with others and develop professional relationships and partnerships with others
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8zNTU4NDY2NjM4P3NvdXJjZT1ndW10cmVl&jid=1219965&xid=3558466638
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18h
1
Your role will be that of main liaison between the company's internal claims operational staff, management, and its brokers, for all claims-related matters of a highly complex technical/legal nature. Working closely with an allocated portfolio of brokers, the Portfolio Relationship Manager will:
Apply technical product knowledge, legal expertise to facilitate effective resolution ensuring a fair outcome. Act as an expert advisor on all complex claimsProvide training and guidancelead team of claims specialistsProvide information to brokersEvaluate process and procedures
Full claims administrative support will be given by the company's claims department, while the core purpose will be to provide technical and legal guidance and insight to both internal staff and brokers on most complex claims matters.
Minimum Requirements:
Grade 12LLB Degree -essentialHigher Certificate in Short Term InsuranceRE 5DOFA essentialComputer literate6-8 years min in claims (Commercial, Personal & Motor& Non-Motor)Must have worked for a UMA, Insurer, or other Risk Carrier, where broker interaction form an inherent part of the job.
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8yNzMwMjc1MjYwP3NvdXJjZT1ndW10cmVl&jid=1305791&xid=2730275260
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18h
1
Your role will be that of main liaison between the company's internal claims operational staff, management, and its brokers, for all claims-related matters of a highly complex technical/legal nature. Working closely with an allocated portfolio of brokers, the Portfolio Relationship Manager will:
Apply technical product knowledge, legal expertise to facilitate effective resolution ensuring a fair outcome. Act as an expert advisor on all complex claimsProvide training and guidancelead team of claims specialistsProvide information to brokersEvaluate process and procedures
Full claims administrative support will be given by the company's claims department, while the core purpose will be to provide technical and legal guidance and insight to both internal staff and brokers on most complex claims matters.
Minimum Requirements:
Grade 12LLB Degree -essentialHigher Certificate in Short Term InsuranceRE 5DOFA essentialComputer literate6-8 years min in claims (Commercial, Personal & Motor& Non-Motor)Must have worked for a UMA, Insurer, or other Risk Carrier, where broker interaction form an inherent part of the job.
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS80MjM5OTQ3MDA1P3NvdXJjZT1ndW10cmVl&jid=1057567&xid=4239947005
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18h
Ads in other locations
1
CLAIMS CONSULTANT
INTRODUCTION
An underwriting management company situated in Pretoria is seeking a dynamic Claims Consultant with at least 5 years’ experience in mechanical warranty claims to join their team.
QUALIFICATIONS AND EXPERIENCE
Minimum education (essential):
National Senior Certificate
Minimum applicable experience (years):
5 years’ experience
Skills and knowledge (essential):
MS OfficeMS Outlook (Excellent email étiquette)Technical and mechanical experience relating to the motor industry is a must
Other:
Working hours 08h00 – 16h30
Skills and knowledge (desirable):
Very good communication skills, verbal and written and must be able to communicate with peopleBe able to work under pressureBe able to process large amounts of data with great care and attention to detailMust be self-motivated and on timeBe a team player and be able to plug into the bigger picturePrevious customer service experience is a mustPrevious experience in the insurance and motor industry is a must
Key Performance Areas
Receiving phone calls from customers/workshops relating to claimsCapturing all claims data onto systemLiaise with workshop dealers regarding mechanical warranty claimsLoading and verification of paymentsProcessing of claimsAny other tasks allocated by senior management
REMUNERATION
Market related (Pension fund contribution)
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS85NDQzMDQwOTY/c291cmNlPWd1bXRyZWU=&jid=1319953&xid=944304096
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18h
1
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:
To ensure the accurate capturing, processing and finalisation of all Commercial ClaimsSuccessfully passed RE 1Minimum five years relevant work experience in short term insurance claim settlement (Commercial claims, Motor and Non-Motor). Motor Agg’s / Co-insurers / XOL Insurance / Assets based policies.
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS8yMzEzMzQxMDI0P3NvdXJjZT1ndW10cmVl&jid=1691757&xid=2313341024
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18h
1
Duties & Responsibilities
Handling commercial claims including Heavy Commercial Vehicles claims from registration, right up until settlement Ensuring confirmation of cover has been completed correctlyReporting and handling of commercial motor and non-motor claimsCommunicate with clients, the responsible party, their insurers, solicitors, and various other parties involved in the claims process, by telephone and/or by written communicationEnsure effective and timely claims management and settlement (in line with the SLA agreement)Adequate reserving of claimsAssist with administrative functions and undertake special projects as and when requestedTo maintain the claims filing system effectively and efficiently – ensure all documents are renamed correctlyTo update client on the progress of the claim telephonically and via emailAdvise clients on general queries and claims issues Requesting payments correctly within mandateHandling of Compliments and Complaints according to the Compliments and Complaints Business ProcessesAd hoc duties assigned by management from time-to-timeProductivity:New Claims handled – 60 claims to be worked on per day
Open Claims – No claims to be open 90+ daysManagement of Tasks – All tasks to be attended to within the 4 working hours SLAClosing of Tasks – Detailed notes are always to be left as to why the task is being closedManagement of reminders – All reminders to be attended to dailyUtilisation and management of notes – Detailed and accurate notes are always to be usedCommunication (telephone and e-mail) – Ensuring professional communication at all timesTelephone calls – to be made and received on recorded lines. If your cell phone does not have the ability to record, you may not use it for work purposesTelephone messages – All messages need to be attended to within 1 working hours.Quality:Detailed and accurate notes are always to be usedAccuracy of estimates – Ensuring the reserves held on claims are accurate and updated at all timesAccuracy and quality of communication – Ensuring professional communication at all timesTelephone etiquette - answering/making the calls correctly – Ensuring professional communication at all timesExceptions – To be attended too daily. Estimates, claims status and notes to be updated continuously to prevent additional exceptionsEfficiency:Adherence to SLA (Delivering work within SLA) – All tasks to be attended to within the 4 working hours SLAComebacks on work not done correctly the first time – Proactively minimising the amount of comebacksGeneral Attitude – to...
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS81MDUxMDM2NDU/c291cmNlPWd1bXRyZWU=&jid=375190&xid=505103645
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19h
1
JohannesburgResponsibilities Include:Perform monthly reconciliations between the operational and the accounting systems.Identify, analyze & resolve reconciling items between financial and operational system.Liaise with Business Intelligence department and contractors on integration errors on financialsystem.Liaise with other internal departments to resolve queries to ensure that customers areassisted without issue and company processes can run smoothly and accurately.Bulk Loading of vehicles on the operational system.Bulk upload wholesale vehicle policies and liaise with importers regarding queries.Liaise with debtors on outstanding vehicle importer accounts.Bulk update to policy values. Assist call center agents with plan queries on the operationalsystem.Compile macros for invoices and returns on the financial system.Create uploaders for transactions not automatically integrating into the system.Calculate profit and loss on terminated plans and cancelled plans.Prepare Journals and monthly joint venture profit share calculationsMinimum requirements: We are ideally looking for someone with SQL experience (very advantageous).1 – 2 years relevant experience in a same or similar role.Financial Services industry experience beneficial.B.com degree in a Finance related field.B.com Financial Accounting – 2nd year completed.Strong operational finance experience.Ability to multi-task, cope under pressure and succeed in a high-performance culture.Great Plains experience advantageous.Worked with multiple various systems that interlink.Experience in motor or insurance industry will be advantageous.Strong ability to adapt to change.Strong analytical ability to interpret financial information, attention to detail.Strong verbal and written communication and presentation skills.Strong MS Office skills (Word, Excel, PowerPoint). Advanced excel skills, predominantly on.pivots, macros, formula’s, sorting, excel shortcut keys and working with high volumes of data
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMjY2XzUwMjUwX180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1189694&xid=1266_50250
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2y
1
Sandton - My Client in the Motor Retail Industry is looking for a Financial Accountant.You will be responsible for the daily maintenance of all accounting records for a fast-growing OEM. Integral to the finance team to ensure compliance with all statutory and financial reporting requirements.Minimum requirementsGrade 12B Com in Finance / Commerce or completed CIMA qualification.Minimum 5 years in financial accountingExcellent understanding of Accounting Principles and ProcessesAt least 5 years work experience in finance department at OEM levelKnowledge of resolving queriesExtensive reporting & consolidation experienceDuties:Cash book maintenance.Management of creditors’ function (including supplier payment, reconciling to supplier statement).Management of debtors’ function (including debt collection and reconciling debtors’ balances).Provide monthly creditor and debtor age analysis.Reconcile VAT accounts, prepare and submit VAT returns as well as make payments, collect refunds as is applicable.Reconciliation of petty cash items on a monthly basis.General ledger responsibility.Daily bank reconciliations.Other asset/liability reconciliations.Fixed assets – sub ledger to general ledger.Maintenance of general ledger to trial balance.Prepare management accounts on a monthly basis.Enhance internal operational efficiencies and development of reporting tools to enhance the performance of the business.Ensure compliance with tax authorities and other statutory legislation
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMjY2XzUyMDkzX180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1196518&xid=1266_52093
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2y
1
Sandton - My Client in the Motor Retail Industry is looking for a Financial Accountant.You will be responsible for the daily maintenance of all accounting records for a fast-growing OEM. Integral to the finance team to ensure compliance with all statutory and financial reporting requirements.Minimum requirementsGrade 12B Com in Finance / Commerce or completed CIMA qualification.Minimum 5 years in financial accountingExcellent understanding of Accounting Principles and ProcessesAt least 5 years work experience in finance department at OEM levelKnowledge of resolving queriesExtensive reporting & consolidation experienceDuties:Cash book maintenance.Management of creditors’ function (including supplier payment, reconciling to supplier statement).Management of debtors’ function (including debt collection and reconciling debtors’ balances).Provide monthly creditor and debtor age analysis.Reconcile VAT accounts, prepare and submit VAT returns as well as make payments, collect refunds as is applicable.Reconciliation of petty cash items on a monthly basis.General ledger responsibility.Daily bank reconciliations.Other asset/liability reconciliations.Fixed assets – sub ledger to general ledger.Maintenance of general ledger to trial balance.Prepare management accounts on a monthly basis.Enhance internal operational efficiencies and development of reporting tools to enhance the performance of the business.Ensure compliance with tax authorities and other statutory legislation
https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly9lbi16YS53aGF0am9icy5jb20vY29vcG9iX19jcGxfX18xMjY2XzUyMDkzX180OTc/dXRtX3NvdXJjZT1ndW10cmVlJnV0bV9tZWRpdW09ZmVlZCZrZXl3b3JkPQ==&jid=1196518&xid=1266_52093
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2y
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