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Client Services Administrator
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General Details
Location:
Advertised By:Agency
Company Name:Isilumko Staffing.
Job Type:Full-Time
Description
A top company in the insurance industry is seeking a Client Services Administrator to start in their Branch administration department in Rustenburg.
Purpose
To provide professional first line support to clients and sales support
Responsibilities
- Render client services: updating client personal details, inform clients and update changes to their policy, handle all complaints and enquiries.
- Administrate Claims: Verify claim documents as per standard procedure, submit all claims received to head office, keep claims register up to date.
- Advise clients of cancelations
- Office Administration: Manage mail and fax, prepare statistical reports.
Requirements
- Must have Matric.
- A recognized qualification as per the FSCA will be advantageous.
- Must have an RE5.
- Must have registration as an Employee Representative
- Must have CPD points
- Must have Class of Business Certificate
- Must have at least 2 years' Experience in the insurance industry
- Must have 1 year Client services experience.
- Must have 1 year experience in: Category A, B, C and retail benefits will be advantageous.
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Id Subtitle 1245505035
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Isilumko Staffing.
Selling for 3+ years
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Duties and Responsibilities:• Capturing of all new claim where applicable.• One point of contact for the client/broker and adherence to first call resolution.• Deliver exceptional client service that exceeds customers’ expectations through proactive, innovative and appropriate claims handling.• Ensures that customer claim is handled efficiently.• Verifies FNOL data or documentation provided to ensure correct settlements of claim • Attend to validation and first call actions on all claims within 1 working hour after registration.• Achieve minimum targets were applicable.• Maintain appropriate diaries and messages on the operating system.• Client input and communication is an integral part at the start of the entire claims value chain, ensuring that complete and accurate data/documentation is obtained and captured. This determines the direction of the claim to the entire claims value chain.• Effectively maintains oversight of all relevant claims tasks and manages the claims handling process to achieve timely settlement and to minimise inaccuracies• Identify, investigate and resolve any issues relating to claims being handled in line with claims policies and procedures such as SLAs and TAT.• Accurately check/determine whether appropriate cover is in place, interpret policy wordings and conditions to determine the validity of claims and advises the broker/policyholder accordingly.• Identify potential non-disclosure and misrepresentation cases and follow Insurers procedures to deal with these situations.• Identify any red flags on claims which are potentially fraudulent and follow Insurer procedures for dealing with these.• Identify when a specialist is needed to investigate a claim and follow Insurers policies and procedures for appointing these.• Identify possible recovery and third-party claims and link the claim to the legal department upon registration.• Negotiates effectively within agreed mandate limits using an appropriate negotiation style.• Be familiar with the Insurers estimate philosophy and apply accordingly.• Adhere to Brolink s guidelines for referral of claims to management (e.g., large losses)• Selects and appoints external experts/vendors following Insurers procedures and authority levels.• Utilises preferred service suppliers when dispatching service to clients in line with BBEEE targets e.g., Spend direction tools.• Assist with emergencies and afterhours process for outsourced business.
• Minimizes cash settlements vs utilization of preferred suppliers for settlement by managing the percentage of cash versus quantum. • Demonstrates an effective communication style, that motivates, across internal and external teams and individuals that may become involved with claim tasks.https://protool.gumtree.co.za/external-link-browser.html?url=aHR0cHM6Ly93d3cuZGl0dG8uam9icy9qb2IvZ3VtdHJlZS80OTEwMzc0MTU/c291cmNlPWd1bXRyZWU=&jid=1705689&xid=491037415
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Our client is looking for a confident Claims Tech who is able to function well under pressure. The role requires the skills and experience stated below:
Qualifications and Experience:
To ensure the accurate capturing, processing and finalisation of all Commercial ClaimsSuccessfully passed RE 1Minimum five years relevant work experience in short term insurance claim settlement (Commercial claims, Motor and Non-Motor). Motor Agg’s / Co-insurers / XOL Insurance / Assets based policies.
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My Short Term Insurance Client is looking for a Commercial Underwriter
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KEY RESPONSIBILITIES
Policies and Procedures
• Ensure adherence to collection policies and procedures.
Collections and Targets
• Monitor and manage a debtor’s portfolio of no more than 480 accounts.
• Achieve and maintain collections and targets set per company protocol.
• Actively collect payment according to payment terms
• Performs reconciliations of allocated accounts daily.
Overdue Accounts
• Attend weekly meetings with the credit supervisor to review all defaulting accounts.
• Ensure the correct escalation process is followed for the Reminder Letters.
• Feedback on the top 20 overdue accounts must be prepared and discussed weekly.
Hand Overs and Bad Debts
• Follow the correct protocol before blacklisting a client, and then proceed to blacklist clients.
• Inform the credit supervisor of any liquidations, absconded clients and business rescue’s immediately.
Credit Notes, Invoices and Adjustments
• Check that all credit notes and adjustments are raised correctly.
• Investigate all reasons for credit notes to ensure that they are valid.
• Submit all credit notes requisitions to the regional credit supervisor.
• Raise all rate queries and stop billing on closures with the billing department.
Month-end Activities
• Ensure that all re-allocations of unallocated deposits are completed.
• Ensure that all journals’ requisitions are raised by 12h00 on the 4th working day of the new month.
Cash / Suspense Accounts
• Ensure the bank statements deposits are captured and allocated daily.
• Ensure that all suspense accounts are reconciled and cleared monthly.
• Obtain all remittance advices for all deposits received on allotted debtor’s accounts.
Financial & Reporting
• Prepare commentary on top twenty clients each month for the region
Auditors
• Assist auditors as and when required.
Meetings
• Regular one on one book reviews with the credit supervisor
• Attend monthly and weekly meetings where required.
• Regularly attend customer meetings.
Customer Care & Queries
• Promote a high level of focus on customer care with relevance to all customer complaints and queries.
• Maintains accurate and complete client information on the system
• Ensure that such queries and complaints are dealt with efficiently, accurately, and promptly.
• Ensure a 48-hour turn-around-time on all customer queries.
Inter-departmental Relations
• Ensure that inter-departmental relationships between Accounts Receivable and other areas are maintained at high levels.
• Ensure a balance is maintained between sales and credit objectives.
Projects
• To get involved in any additional projects as and when required.
SUPERVISORY RESPONSIBILITIES
None
QUALIFICATIONS and EXPERIENCE: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
? Degree or Diploma within the accounting field
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