Telesure Investment Holdings: Claims Consultant








Company Telesure Investment Holdings
Reference # CC/2021/05
Published 20/05/2021
Contract Type Permanent
Salary Market Related
Location Fourways, Gauteng, South Africa
Introduction
Telesure Investment Holdings (Pty) Ltd (TIH), is the holding company of some of South Africa’s leading financial service providers. Our portfolio includes short term insurers, a long-term insurer, health insurance as well as an insurance and
personal finance comparison platform. Our origins date back to 1 June 1985, and we have since grown into a group of subsidiaries that includes some of South Africa’s most loved and recognisable brands. We exist to continuously find better ways to give people peace of mind, whether it is to protect what they own, their loved ones or their greater ambitions and life plans. We bring
customer-focused innovation and service excellence to the financial services industry. We’re an undivided team who believe in leading through technology and pushing past their limits. TIH is owned by BHL (SA) Holdings Limited. BHL has a vast global footprint.
Job Functions Call Centre
Industries Insurance
Specification
JOB PURPOSE
Process already-captured claims efficiently and accurately through drawing on the relevant criteria to ensure standardisation across the organisation to enable decision making on a claim.

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.
Make decisions according to established criteria to ensure standardisation across the organisation by accurately administrating and underwriting claims.
Use appropriate tools to accurately cost applicable claims on a day to day basis.

Work Scheduling and operational compliance
Organize own work schedule in order to get the job done, coordinating with support services and completed work within SLA.
Ensure claims are finalised within the set parameters (turnaround time, terms and conditions applied accurately).
Remain up to date with current and new product knowledge to enable effective decision making.





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, organize and maintain files containing the correspondence relating to policies and matters.

Document Preparation
Prepare and manage claim documentation for customers.

TASKS
Prepare insurance claim forms or related documents and review them for completeness.
Enter claims information into database systems.
Pay small claims.
Calculate quantum amount of claim.
Post or attach information to claim file.
Transmit claims for further investigation.
Contact insured or other involved persons to obtain missing information.
Review insurance policy to determine coverage.
Organize or work with detailed office records, using computers to enter, access,
search or retrieve data.
Provide customer service, such as limited instructions on proceeding with claims
or referrals to auto repair facilities or local contractors.
Finalise claims and communicate the outcome to the customer
Listen and transcribe client conversations
Request Client Conversation
Retrieve Client Conversation
Issue repair / replace vouchers
Load and action 15 minute messages
Complete Things To Do (TTD’s) and requests
Refer to Loss Adjuster when required
Arrange to collect salvage – Non-Motor where applicable
Arrange to collect salvage – Motor where applicable

Requirements
General Education
Matric / Grade 12/ SAQA Accredited Equivalent (Essential)

General Experience
1 or more years Financial Services industry experience (Essential)
Call Centre Experience (Essential)
STI experience (Advantageous)
1 or more years Claims Experience (Advantageous)
At least 2-3 years’ experience in a Customer Service environment (Advantageous)

*SAQA Accredited Equivalent – It is the onus of the applicant to provide TIH and its subsidiaries with certified evidence that their qualification(s) meet the equivalent NQF level required for this role at time of application. As a registered Financial Service Provider, we are mandated to ensure that all our representatives are and remain fit and proper at all times. By applying for this
role, you consent to having your relevant qualification and or accreditation orconfirm that you are working towards meeting the competency requirements. You further consent to the relevant information being verified.

Job Closing Date 03/06/2021