This role is individually accountable for the administration and effective functioning of all customer payment platforms within the organization.
Job Description
Job Title: Claims Specialist
Duties & Responsibilities
- Analyse claims and prepare appropriate response in line with policies, procedures, and standards.
- Follow standard procedure to assess and finalise claims in line with approved standards.
- Analyze claims and confirm cover or otherwise and draft rejection letter if claim is rejected.
- Keep Client/Financial advisors/broker always informed in terms of progress of claim.
- Build positive customer relations and solve or escalate customer queries and complaints.
- Gather feedback on customer satisfaction and provide reporting and analysis.
- Continuously strive to enhance and improve the claims processes.
- Identify and report on claims process issues.
Competencies
- Innovative
- Attention to detail.
- Customer relations/Relationship Management
- Reporting
- Technical Knowledge
- Execution
- Initiating Action/Proactive
Requirements
- A Bachelor’s Degree from an accredited University is required
- Previous experience in similar role is desired