Claims Consultant at PPS

Co-ordinate and oversee, manage negotiate and settle personal lines and commercial claims and account for the finalisation of the claim end-to-end. Delegate authority to manage the process and resolve any conflict by a negotiating, settlement, and finalisation functionality. Administer and validate claims correctly and efficiently within the specifications of PPS Short-Term Insurance Company's policy terms and conditions.  

Validation of Insurance Claims

• Validate claims in a friendly, courteous, and professional manner to all stakeholders within the prescribed turnaround times as documented and agreed in various service level agreements
• Accurately document all interactions, decisions, and transactions related to the claims process. This includes maintaining detailed records of claim documents, correspondence, and any investigation findings
• Investigate the merits of a specific claim and determine if the services of an assessor / loss adjustor would be required and appoint the most appropriate preferred assessor / loss adjustor where necessary to perform further investigations
• Verify that all requirements are met (e.g. alarm systems, etc) in terms of the policy contract
• Confirmation of conflicting statements with relevant parties
• Make decision within financial mandate and within the set-out processes
  

Process optimization and efficiencies 

• Duties include working with cross-functional teams to deliver exceptional service to all intermediaries/members as set out in the relevant service level agreements
• Combat insurance fraud by ensuring strict compliance to mandates, set procedures, philosophies and Company rules and regulations
• Identify opportunities for process improvements and efficiency enhancements within the claims handling department. Offer feedback and suggestions to enhance customer experience and streamline operations
• Uphold all service excellence principals as communicated by management
  

Stakeholder Management

• Build and maintain relationships with internal and external stakeholders
• Collaborate effectively with peers to achieve business results

CLICK HERE TO APPLY