SOUTH AFRICAN SPECIAL RISK INSURANCE ASSOCIATION (SASRIA) Position Title: Complex Claims Controller JOB SUMMARY STATEMENT/PURPOSE: To ensure effective processing of claims within the governed framework, to ensure compliance with the short-term insurance regulations as well as to assist the Claims Manager with the management of complex claims. CONTRACT TYPE: Permanent CLOSING DATE: 23 July 2020 CLICK HERE TO APPLY
•Interpret related claims documentation and negotiate settlement and disposition of complex claims.
• Interpret related claims documentation and negotiate settlement and disposition of complex claims. 3. Strategic assistance • Provide input in the compilation of the departmental annual plan. • Provide input on the review of the claims processes. • Review and enhance the claims procedure manual for evaluation by the Claims Manager. • Continuously review departmental risks. • Establish gaps between industry developments and Sasria covers. • Compile Statistical Reports. • Manage service level agreements with suppliers and ensure deliverables are satisfactory. 4. Ad hoc Duties • Perform any reasonable task as and when required by Manager. Qualifications: • Grade 12 • Degree/Diploma preferable • Higher certificate in Insurance preferable • 7 – 10 years’ experience in a Claims position of Short-term Insurance company Knowledge: • Sound knowledge of claims procedures. • Basic understanding of claims analysis and settlement. • Understanding relevant legislation. • Understanding Sasria regulations, policies and procedures. Technical Skills & Competencies: Technical Skills: • Administration • Analytical thinking • Business writing • Claims management • Communication • Customer service • Interpersonal skills • Report writing Competencies: • Analysing information • Managing information • Communicating clearly • Team working • Handling conflict • Customer centricity • Managing work • Driving results Demographics: • A South African citizen of any gender, preference will be given to an EE candidate Location of the role: • The role will be in Illovo, Johannesburg
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