VAPS Claims Processing Consultant

Telesure Investment Holdings TIH · Johannesburg, Gauteng

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Job Purpose

  • Obtain information from insured or designated persons for the purpose of validating claims using all resources available.

Responsibilities

Customer Management Internal

  • Help manage customer by carrying out standard activities to complete the customer request.

Data Collection & Analysis

  • Ask questions, collect data from a variety of sources, analyse information and investigate claim.

Work Scheduling and operational compliance

  • Organise own work schedule in order to get the job done, coordinating with support services and completed work within SLA.

Administration

  • Produce, update and provide best practice support to customers on the claims administration process and other departmental systems, in line with claims policy, rules and SLAs.

Correspondence

  • Respond to routine requests using telephonic conversation or emails internal and external.

Document Management

  • Create, organise and maintain files containing the correspondence relating to policies and matters.

Document Preparation

  • Prepare and manage claim documentation for customers.

Up-sell Customer Propositions

  • Identify a selection of products or services that may meet the customer's requirements, explain the product/service features influence the customer to add additional

Education

  • Matric / Grade 12/ SAQA Accredited Equivalent Essential; Regulatory exam 5 Advantageous

Experience

  • 0-1 year experience, especially client services – which includes capturing applications, instructions, reporting, and attending to IFA and client queries Essential; Experience in the Financial Services environment Advantageous
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