<h3>Claims Learnership X5 &lpar;12 Months&rpar;<&sol;h3>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>Details<br &sol;>&NewLine;Reference Number SAS240213-1<br &sol;>&NewLine;Job Title Claims Learnership X5 &lpar;12 Months&rpar;<br &sol;>&NewLine;Job Type Learnership<br &sol;>&NewLine;Division Insurance Operations<br &sol;>&NewLine;Department Claims<br &sol;>&NewLine;EE Occupational Levels Level 1&colon; Unskilled<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>Job Advert Summary<&sol;p>&NewLine;<p>The learner should be able to process and handle claims within the delegated authority by ensuring validity&comma; assessing liability and negotiating settlement&comma; whilst ensuring excellent customer service and cost containment&period;<&sol;p>&NewLine;<p>The management of claims should be within the governed framework to ensure compliance with the short term insurance regulations&period;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>Minimum Requirements<&sol;p>&NewLine;<p>Minimum Qualifications&colon;<&sol;p>&NewLine;<p>Relevant National Diploma in Finance and&sol;or Accounting&period;<&sol;p>&NewLine;<p>Matric&period;<&sol;p>&NewLine;<p>Minimum Experience&colon;<&sol;p>&NewLine;<p>None&period;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>Duties and Responsibilities<&sol;p>&NewLine;<p>1&period; Administration and Claims processing<&sol;p>&NewLine;<p>Perform administration functions – registration of new claims and loading &lpar;and authorization&rpar; payments&period;<&sol;p>&NewLine;<p>Examine and validate new claims and any related documentation thereof&period;<&sol;p>&NewLine;<p>Adjust claims and ensure that the merits are inline with Sasria policy cover&period;<&sol;p>&NewLine;<p>Ensure that the appropriate documents supporting the quantum are received and the calculations are correct&period;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>Perform document diary maintenance on IMS system&period;<&sol;p>&NewLine;<p>Update the reserve as per reserving policy and keep a regular follow-up outstanding proof of quantum&period;<&sol;p>&NewLine;<p>Exercises proper judgment and decision making to analyze the claims exposure&comma; to determine the proper course of action and to appropriately settle the claim within delegated authority&period;<&sol;p>&NewLine;<p>Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover&period;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>Escalate complex and contentious claims to Supervisor&period;<&sol;p>&NewLine;<p>Manage and ensure that all other external resources and handle the claim within the required procedures and Sasria philosophy&period;<&sol;p>&NewLine;<p>Update notes on the system regularly to ensure notes reflect latest status of claim&period;<&sol;p>&NewLine;<p>Inform underwriting department of gaps in cover&comma; omitted documents as well as losses&sol; gains on premium&period;<&sol;p>&NewLine;<p>Handle all customer enquiries and queries promptly and in-line with policy&period;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<p>2&period; Agency&sol; Broker Liaison<&sol;p>&NewLine;<p>Negotiate the settlement of claims&period;<&sol;p>&NewLine;<p>Liaise with Agent companies and brokers regularly on the progress of the claim&period;<&sol;p>&NewLine;<p>Update all relevant stakeholders on the progress of the claim&period;<&sol;p>&NewLine;<p>3&period; Perform ad hoc tasks<&sol;p>&NewLine;<p>Perform any reasonable tasks as and when required by the Line Manager&period;<&sol;p>&NewLine;<p>&nbsp&semi;<&sol;p>&NewLine;<a class&equals;"maxbutton-1 maxbutton" href&equals;"https&colon;&sol;&sol;sasria&period;erecruit&period;co&sol;candidateapp&sol;Jobs&sol;View&sol;SAS240213-1"><span class&equals;'mb-text'>CLICK HERE TO APPLY<&sol;span><&sol;a>&NewLine;

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