| Date | 2025-01-24 |
|---|---|
| Job Title | Claims Broker _Houghton Jhb |
| Employer | Pro Tem More Information |
| Salary | 34000 |
| Category | Insurance And Investments |
| Location |
Gauteng / Johannesburg |
Job Summary
Position – Claims Broker
Department Claims Operations
Report Line – Claims Supervisor
MUST HAVE BINDER BROKER EXPERIENCE – NOT NEGOTIABLE
EDUCATION & TECHNICAL
Tertiary/Professional Qualification
Grd 12 + FIAS Compliant with required Credits
Technical Knowledge
Personal and Commercial claims processes and procedures Motor and non-motor classes of insurance
Experience
3 5 years Claims Experience
To manage the claims Administration and Negotiation process of your allocated
Role Purpose
client base in order to place the client in the position they were in immediately prior to their loss and always trying to adhere to Clients Service standards and turnaround times
PROFESSIONAL ATTRIBUTES
Solid interpersonal and relationship building skills
Ability to handle pressure & meet deadlines
Must be computer literate (spreadsheet skills) Exceptionally detail oriented
Understanding of CIMS3
Clear credit history recommended
KPA
Claims Administration
(motor and non-motor) of the allocated portfolio
Check premium payment and cover immediately. If premium not paid
Carried out within 1 hour after after registering
or there is no cover, clarify with the A.E. or Member immediately
registering the claim.
ACTION
Take all the relevant details when the client phones
Check premium payment and cover immediately. If premium not paid
or there is no cover, clarify with the A.E. or Member immediately
before advising the client.
If there is cover.
Register claim on CIMS System upon notification of the claim. A
checklist is to be created immediately after the claim is registered with
ALL the necessary information filled in on the form. Claims forms are
to be immediately sent to the insured for completion
Send first notification to the client and Insurance Company confirming
receipt of all the documentation or when the claim is over our claims
mandate.
Motor claims
Arrange with the Insurer to have an assessor to inspect the damage
upon receipt of claims documentation or the Insured can be referred
to the closest drive in assessment center.
Follow up on a regular basis for the assessment and keep the Insured
informed of the progress
Follow up on the authorisation with the repairer whether the vehicle
been assessed and confirm immediately to the Insured that the repairs
have been authorised.
In the case of the Windscreen claim we will give authorisation for
immediate repair/replacement upon checking premium and cover
details and getting the claim number from the Insurer.
An assessor is to be appointed for all Porsche/Ferrari windscreen
claims over R 20K and authorisation to be given immediately after
receiving the assessors report or alternatively client to provide a
picture of damaged windscreen & license disk.
General Administrative
Tasks
Ensure all claim forms are completed fully. If not it is to be returned to the Insured for completion.
Prepare/obtain relative claims experience if this is requested by the underwriter or Relationship Manager.
Any Ex-Gratia requests may not be confirmed to Clients until this is agreed in writing from your senior manager/Director and also from the Insurer. After a total loss on motor or specified items, you are to immediately, after becoming aware of the total loss, advise the underwriter to delete the item and to contact the Insured in order to add the new item. After a personal claim is registered on a true monthly policy you are to advise U/W the details of the claim so that they are able to adjust the
premiums/NCB/CFG. This is to be done if the insured is aware that they are going to claim.
Advise U/W of risk Improvements, and sum insured discrepancies if these details have been given by the assessor/Insurer.
In all cases check the policy Of the Insured or Company to ensure that the claim falls within the scope of cover and to ensure all details on the claims file i.e. Excesss and estimates and cover is noted properly.
In the event of the client being unhappy about the progress of this claim or settlement, then you are to act as a spokesman between them and the insurer. You may never refer them to the insurer.
Promoting the service that client offers to our clients and/or third parties that we deal with daily.
Ensuring good relations with Insurance companies, assessors, service providers and replacement institutions.
Help other departments when the need arises.
Keep CIMS System up to date at all times including the making of notes on the system.
Updating payments on the CIMS System
Checklists to be saved onto CIMS
Payments through Hollard Insurance Company are to be loaded on a Bordereaux upon receiving the claims file back from the payments department.
Ensure that diaries are kept up to date and regular follow ups are made with the insurer, assessors and also the repairers.
Understanding the cover and wordings of the Personal and Commercial/Multimark policies by ongoing hands-on training.
Ensure that important mails and/or queries are attended too
Liabilities are to be sent to the insurer after becoming aware of the approach and regular follow ups are to be done with the Insurer to ensure that the third party claim is settled
Recoveries are to be sent to the Insurer after the assessors report has been received and regular follow ups are to be made with the Insurer.
If the recovery is successful then the U/W is to be advised regarding this and the NCB/CFG is to be adjusted and confirmation is to be sent to the Insured confirming this.
Claims Broker _Houghton Jhb position available in Gauteng, Johannesburg. This job position was posted by Pro Tem. The job has been posted as a premium ad on 2025-01-24 at 13:00:33 in the Insurance And Investments category
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