Where

Claims Administration Handler

Customer Experience People SA (Pty) Ltd
Durban Full-day Full-time

Description:

Job Overview

You will be responsible in undertaking general administration and claims handling duties for the Personal Injury Claims department within a timely manner and in line with company procedures.

Job Responsibilities

  • Import new claims the system portals, and/or manually upload
  • Conduct AskCue PI and Cache checks on all appropriate claims
  • Allocation of new claim files to claims handlers in accordance with guidelines.
  • Allocating Vulnerable Road User (VRU) claims to nominated claims handlers.
  • Filter MI received from claims insight team suitable for use in Rolling Reviews and distribute accordingly.
  • Make payments to TPIs who are party to the subrogation agreement via the verify portal.
  • Make payments on any bordereaux/ bulk payment arrangements to suppliers.
  • Conduct initial enquires on TPI Direct Claimants (including phone call /initial letter)
  • Identify and communicate urgent tasks to team leaders and PI handlers.
  • Request and subsequently manage CRU certificates and notify DWP upon settlement/closure.
  • Manage through to settlement - Tariff only whiplash claims with or without associated losses; to include running medical assessment through COA or valuing against defined matrix.
  • Provide ad hoc support to PI claims handlers and team leaders.
  • To adhere to and consider all regulatory requirements at all times, including consumer duty DPA and AML
  • To be compliant with health and safety policies at all times.
  • To ensure compliance with company and other relevant standards/regulations at all times.
Job Requirements
  • Minimum of Grade 12/Matric qualification of equivalent NQF level 4 qualifcation
  • Experience of working in an administrative role
  • Previous experience in the motor insurance industry
  • Experience of working in a insurance claim’s environment preferred

Required Skills

  • Excellent time management and organization skills with the ability to prioritize own work
  • Good level of communication skills, both verbal and written
  • Good Microsoft Office Skills (outlook, Word, Excel)

Core Behaviour

Huntswood’s employees are described as dependable, driven and collaborative.
The job holder should be able to demonstrate they are:

  • Confidential, reliable and genuine
  • Dynamic, passionate and determined
  • Friendly, compassionate and cooperative

"It's not just about what we do, but the way we do it. And it's our values that make us special."

Requirements:

  • Import new claims the system portals, and/or manually upload
  • Conduct AskCue PI and Cache checks on all appropriate claims
  • Allocation of new claim files to claims handlers in accordance with guidelines.
  • Allocating Vulnerable Road User (VRU) claims to nominated claims handlers.
  • Filter MI received from claims insight team suitable for use in Rolling Reviews and distribute accordingly.
  • Make payments to TPIs who are party to the subrogation agreement via the verify portal.
  • Make payments on any bordereaux/ bulk payment arrangements to suppliers.
  • Conduct initial enquires on TPI Direct Claimants (including phone call /initial letter)
  • Identify and communicate urgent tasks to team leaders and PI handlers.
  • Request and subsequently manage CRU certificates and notify DWP upon settlement/closure.
  • Manage through to settlement - Tariff only whiplash claims with or without associated losses; to include running medical assessment through COA or valuing against defined matrix.
  • Provide ad hoc support to PI claims handlers and team leaders.
  • To adhere to and consider all regulatory requirements at all times, including consumer duty DPA and AML
  • To be compliant with health and safety policies at all times.
  • To ensure compliance with company and other relevant standards/regulations at all times.
  • Minimum of Grade 12/Matric qualification of equivalent NQF level 4 qualifcation
  • Experience of working in an administrative role
  • Previous experience in the motor insurance industry
  • Experience of working in a insurance claim’s environment preferred
  • Excellent time management and organization skills with the ability to prioritize own work
  • Good level of communication skills, both verbal and written
  • Good Microsoft Office Skills (outlook, Word, Excel)
  • Confidential, reliable and genuine
  • Dynamic, passionate and determined
  • Friendly, compassionate and cooperative
09 Apr 2024;   from: careers24.com

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