Minimum Qualification Required

• Grade 12/Standard 10/NQF 4

Minimum Experience

• Minimum 5 years short-term insurance experience
• Minimum 5 years Claims experience
• Minimum 3 years Claims Investigations experience
• Solid understanding of claims systems and claims procedures: inclusive of claims, investigations, and legal department processes
• Commercial and Personal line Claims experience will be required

Deliverables include, but will not be limited to

• Managing validations of commercial and personal line claims, all skill sets.
• Reaching company goals and targets set for the Commercial and Personal line Investigations department.
• Administering assigned claims and set tasks.
• Managing client and broker expectation.
• Maintaining set timelines on the processing of claims.
• Maintaining relationships with Brokers from a Claims perspective.
• Knowledgeable on Broker procedures.
• Foster a positive work relationship with Underwriters.

Competencies Required

• Must be highly proficient in dealing with clients at all levels
• Comprehensive knowledge of legal liability and state regulations
• Thorough knowledge of claims investigation techniques
• Excellent written and verbal communication skills
• Attention to detail
• Strong administration skills
• Self-motivated, inspire others
• Motivation and desire to excel
• Problem solving skills and solution oriented
• Flexibility
• Ability to multi-task and cope with pressure
• Ability to perform under pressure
• Meeting deadlines
• Proper time management
• Commitment to personal and team goals
• Professionalism
• Ability to apply business rules and processes
• Excellent interviewing skills
• Provide technical guidance to team members