South African Government's COVID-19 Information Page at sacoronavirus.co.za.

Position Title: Claims Controller

Job Summary Statement/Purpose:
The Claims Controller will collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short-term insurance regulations or determine the validity of the claims from agent companies, assess the liability and negotiate settlements.

Current Status: Active

Contract Type: Fixed-Term Contract

Closing Date: September 22, 2021

Click here to apply

Qualifying Criteria

1. Claims processes
• Accurately record and examine received claims and any related documentation thereof
• Perform document diary maintenance on IMS system
• Capture claims received by the department on register for reserve and keep a regular follow-up outstanding reserve once claims are verified by Claims Manager
• Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover
• Escalate complex claims to Supervisor
• Assist in the extrapolation of monthly reports on claims

2. Agency/ Broker Liaison
• Inform reinsurance brokers and underwriting department of omitted documents as well as adjustors such as losses/ gains on premium
• Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim
• Negotiate the settlement and disposition of complex claims; interpret related claims documentation

3. Perform ad hoc tasks
• Perform any reasonable tasks as and when required by the Line Manager

• Higher Certificate in Insurance/ Certificate of Proficiency in Insurance

• 2 – 3 years’ experience in a Claims position of short-term Insurance company
• Strong Non-motor experience preferable

• Sound knowledge of claims procedures
• Basic understanding of claims analysis and settlement
• Understanding relevant legislation
• Understanding Sasria regulations, policies and procedures

• Good planning and organising skills
• Excellent interpersonal and communication skills
• MS Office
• Good time management skills
• Claims Procedures (IMS)
• Business Written Communication Skills (emails, letters, memos, reports)
• Negotiation

• Administration
• Analytical thinking
• Business Writing
• Claims Management
• Customer service
• Communication
• Interpersonal skills
• Liability analysis

  •  A South African citizen of any gender, preference will be given to an EE candidate.
  • The role will be in Illovo, Johannesburg.