Telesure Investment Holdings: Claims Processing Consultant

Company Telesure Investment Holdings
Reference # DD/13/2021
Published 14/04/2021
Contract Type Permanent
Salary Market Related
Location Fourways, Gauteng, South Africa
Telesure Investment Holdings (Pty) Ltd (TIH), is the holding company of some of South Africa’s leading financial long and short term insurance providers. Our portfolio includes South Africa’s most loved and recognisable brands such as 1st for Women, Auto & General, Budget, Dialdirect, Virseker and 1Life. Employee Benefits Administration via our Hippo Advisory Services, which includes health
insurance, provident fund and group life administration. Hippo is South Africa’s first comparison website and compares insurance, other personal finance products, travel, health, money, travel, cars from a range of South African brands. We’re pioneers with a hunger for the best, bringing customer-focused innovation and service excellence to the financial services industry. We’re an undivided team of diverse thinkers and doers who believe in leading through technology and pushing beyond limits.
Job Functions Call Centre,Client Services
Industries Insurance
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 (ITC, supplier contract and/or negotiation) 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.

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.

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.

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

General Education
Matric / Grade 12/ SAQA Accredited Equivalent (Essential); Regulatory exam 5 ( Advantageous); Relevant FAIS Qualification (Advantageous)

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

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 or confirm that you are working towards meeting the competency requirements.
You further consent to the relevant information being verified.

Job Closing Date 21/04/2021