Gap Claims Specialist
Kaelo
Nơi làm việc
Durban
Hình thức tuyển dụng
Toàn thời gian
Chi tiết công việc
Company Description
Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change.
Job Description
The Claims Specialist manages the assessment of claims and has specialised knowledge of the claims environment. There is a strong focus on accurately and efficiently resolving the claim received whilst ensuring exceptional customer service and satisfaction
Key Outcomes
• The accurate and efficient processing of claims captured
• Ad hoc duties- support in the operation of other divisions
• Contribute towards continuous improvement and innovation at process and procedure level
• To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time
• Contribute toward risk management
• Assist clients with queries and provide suitable query resolution
• Accurate completion of administrative targets on a daily basis
• Dealing with multiple telephonic queries from members, brokers and franchises
• Ongoing feedback to clients
• Ad hoc functions as required by Management
Qualifications
Required
Work Experience
• Insurance Industry Experience
Preferred
• Health Insurance Industry Experience
Required
Education, Qualifications and Accreditation with Professional Body
• Matric
• FAIS / RE5
Preferred
• FAIS / RE5 Accreditation with minimum 120 credits
Required
Technical Skills or Knowledge
• Computer Literate incl. Microsoft Access
Additional Information
Personal Attributes
• Accountability
• Action Orientated
• Collaborative
• Communication Skills
• Simple Writing Skills
• Manages Complexity
• Problem Solving Skills
• Creative Thinking
• Decision Making SKills
• Efficient and Effective Mindset
• Financial Acumen
• Planning and Organisation
• Resilient and adaptive
• Resourcesful
• Signancance and values orientated
