<h3><strong>Sasria Claims Learnership X4 (12 Months)</strong></h3>
<p><strong>Details</strong></p>
<p><strong>Closing Date</strong></p>
<p><strong>2025/03/04</strong></p>
<p><strong>Reference Number</strong></p>
<p><strong>SAS250226-1</strong></p>
<p><strong>Job TitleClaims Learnership X4 (12 Months)</strong></p>
<p><strong>Job Type Learnership</strong></p>
<p><strong>Division Insurance Operations </strong></p>
<p><strong>Department Claims EE Occupational Levels Level 1: Unskilled Location &#8211; Country South Africa</strong></p>
<p><strong>Job Advert Summary</strong></p>
<p><strong>The learner should be able to process and handle claims within the delegated authority by ensuring validity, assessing liability and negotiating settlement, whilst ensuring excellent customer service and cost containment.</strong></p>
<p><strong>The management of claims should be within the governed framework to ensure compliance with the short term insurance regulations.</strong></p>
<p><strong>Minimum Requirements</strong></p>
<p><strong>Minimum Qualifications:</strong></p>
<p><strong>Matric.</strong></p>
<p><strong>Minimum Experience:</strong></p>
<p><strong>None.</strong></p>
<p><strong>Please note that preference will be given to people with disabilities.</strong></p>
<p> ;</p>
<p><strong>Duties and Responsibilities</strong></p>
<p><strong>1. Administration and Claims processing</strong></p>
<p><strong>Perform administration functions – registration of new claims and loading (and authorization) payments.</strong></p>
<p><strong>Examine and validate new claims and any related documentation thereof.</strong></p>
<p><strong>Adjust claims and ensure that the merits are inline with Sasria policy cover.</strong></p>
<p><strong>Ensure that the appropriate documents supporting the quantum are received and the calculations are correct.</strong></p>
<p><strong>Perform document diary maintenance on IMS system.</strong></p>
<p><strong>Update the reserve as per reserving policy and keep a regular follow-up outstanding proof of quantum.</strong></p>
<p><strong>Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim within delegated authority.</strong></p>
<p><strong>Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover.</strong></p>
<p><strong>Escalate complex and contentious claims to Supervisor.</strong></p>
<p><strong>Manage and ensure that all other external resources and handle the claim within the required procedures and Sasria philosophy.</strong></p>
<p><strong>Update notes on the system regularly to ensure notes reflect latest status of claim.</strong></p>
<p><strong>Inform underwriting department of gaps in cover, omitted documents as well as losses/ gains on premium.</strong></p>
<p><strong>Handle all customer enquiries and queries promptly and in-line with policy.</strong></p>
<p><strong>2. Agency/ Broker Liaison</strong></p>
<p><strong>Negotiate the settlement of claims.</strong></p>
<p><strong>Liaise with Agent companies and brokers regularly on the progress of the claim.</strong></p>
<p><strong>Update all relevant stakeholders on the progress of the claim.</strong></p>
<p><strong>3. Perform ad hoc tasks</strong></p>
<p><strong>Perform any reasonable tasks as and when required by the Line Manager.</strong></p>
<a class="maxbutton-1 maxbutton" href="https://sasria.erecruit.co/candidateapp/Jobs/View/SAS250226-1"><span class='mb-text'>CLICK HERE TO APPLY</span></a>

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