Overview
Insurance Claims Assessor Jobs in Woodstock at Lewis Group
INSURANCE CLAIMS ASSESSOR – CPI
Requirements:
· Grade 12
· Meeting the Regulatory Fit and Proper requirements
· Clear criminal and credit record
· Advantageous:
o Additional South African Languages
o Knowledge of Treating Customers Fairly principles
Ideal Experience:
· 3 years + experience in claims handling and management, or
· A Similar role involving customer service
Competencies:
· Proficient in English
· Computer Literate in MS Office (Word, Excel, and Outlook)
· Attention to detail
· Self-motivated, committed, and willing to learn
· Disciplined in meeting deadlines and agreed targets
· Problem-solving skills
Job Description:
The individual will be responsible for ensuring that the day to day administration of insurance claims are managed in line with the claim management framework through:
· Review claims with specific reference to Customer Protection Insurance (Death, Goods Cover, Loss of Employment and Disbaility) and confirm the receipt of all required information.
· Assess and evaluate claims and either approve or repudiate the claims or if additional information is required, raise the necessary query to request the information.
· Start the claim assessment after all the required information is received.
· Update and maintain claims notes and comments with factual and accurate information.
· Monitor the claim statuses to ensure that the internal timeframes are followed.
· Ensure that the 48 hour SLA report and Pending Preview report is cleared daily.
· Regular follow-up on final settlement of claims.
· Assist daily with claims/complaints queries and follow-up requests etc.
· Ensure that claim escalations or disputes are referred to Monarch management in a timely manner.
· Manage internal benchmarks regarding pending claims and outstanding claims / payments.
· You may be required to assist with duties outside of your core role to support and follow up with Lewis to ensure the effective handling of claims / complaints and other processes relating to Monarch’s responsibilities
Job Type: Full-time
Work Location: In person
Title: Insurance Claims Assessor
Company: Lewis Group
Location: Woodstock
