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Claims Processing Consultant (CPT)

Full Time

Website Telesure Investment Holdings (TIH)

Telesure Investment Holdings (Pty) Ltd (TIH) is the holding company of some of South Africa’s leading and innovative financial institutions.

Job Purpose

  • Obtain information from insured or designated persons for the purpose of validating claims using all resources available.

Responsibilities

Customer Management (Internal)

  • Help manage customer by carrying out standard activities to complete the customer request.

Data Collection & Analysis

  • Ask questions, collect data from a variety of sources, analyse information and investigate claim.

Work Scheduling and operational compliance

  • Organise own work schedule in order to get the job done, coordinating with support services and completed work within SLA.

Administration

  • Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SLAs.

Correspondence

  • Respond to routine requests using telephonic conversation or emails (internal and external).

Document Management

  • Create, organise and maintain files containing the correspondence relating to policies and matters.

Document Preparation

  • Prepare and manage claim documentation for customers.

Up-sell Customer Propositions

  • Identify a selection of products or services that may meet the customer’s requirements, explain the product/service features influence the customer to add additional

Education

  • Grade 12/ SAQA Accredited Equivalent (Essential); FAIS Regulatory Qualification (Essential); RE 5 (Essential); Relevant 3 year Business or insurance industry related degree / diploma in management (Advantageous); Class of Business Certification (Essential); STI Qualification (Essential); RE 1 (Advantageous); AIISA/FIISA qualification (Advantageous)

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