Job Title : Hospitality Claims Technician Johannesburg
Sector Title : Insurance
Area : Johannesburg
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The Hospitality Claims Technicians role is to process and pay claims timeously and accurately and within policy cover
Key Performance Areas
Claims Registration
Identifying of any information lacking and the requesting of relevant information in order to correctly register all claims received
Accurate registration of claims against the relevant policy sections
Verify policy against the system
Confirmation of premium payment at registration
Accurate registration of claims against the relevant policy sections
Effective indexing/input handling of registered claims on the system facilitating correct streaming to relevant work streams
Replacement requisitions
Generating Orders
Effective processing of claims
Prioritise daily activities to enable processing and maintenance of all claims
Check the accuracy of registered claims cover details and add claimant details timeously
Confirm estimate is accurate deducting excess to work out estimate of claim through investigating policy cover
Ensure computer generated letter is forwarded to relevant broker
Liaise with stakeholders to gather and ensure accuracy of information
If required inform other relevant departments within CPU of claims eg recoveries salvages etc
Capture diary entry immediately after registration process describing progress and action of claim
Deal with and ensure resolution of queries on an ongoing basis
Obtain necessary documents/assessors report and make amendments to estimates ensuring authorization within policy cover
Continually update and maintain diary system
Draw payment on relevant system ensuring accuracy of banking details invoice number VAT numbers class allocation client release etc
Ensure letters are forwarded to brokers demonstrating breakdown of payments
Ensure accurate codes are allocated to payment of claims to minimize leakage
Finalize payments
Review all open files on a quarterly basis by assessing check reports and claims not processed report
If encounter system problems log calls timeously with relevant department
Effective customer focus and service
Liaise with internal stakeholders to facilitate problem resolution and efficiency of work activities
Communicate with stakeholders on a daily basis to inform of progress of claims and claim policy and procedure
Deal with and resolve any queries relevant to area if unable to resolve escalate to manager for resolution
Represent the organization through maintaining high levels of professionalism service excellence and customer excellence
Adhere to internal policies processes and procedures
Effective adherence to company claims policy standards and SLA
Ensure adherence to all company policies at all times
Complete register accurately on a daily basis
Ensure adherence to negotiated flexi hours
Maintain dress code behaviour and absenteeism
Requirements
Matric/equivalent or NQF Level 4
Completion of or substantial progress towards an NQF Level 4 qualification
2 to 3 years working experience within short term insurance preferably within a claims environment
Salary Market related
Please forward updated resume in MS Word with your application Note if no correspondence is received within 6 weeks of your application please consider your application as unsuccessful