Nedbank Jobs in Durban – Personal Claims Consultant

  • Full Time
  • Durban

Website Nedbank

Job Description:

  • Accurate assessment, investigation and processing of long term insurance claims.
  • These claims will include death, disability and critical illness claims.
  • Processing claims and assessing payment of benefits in accordance with the policy terms and conditions
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Job Responsibilities:

  • with team Develop effective relationships with stakeholders
  • Meet client needs by ensuring claims are processed according to service level agreement and insurance policy
  • Monitor customer delivery and escalate exceptions to management.
  • Ensure Service Level Agreements are met and exceeded.
  • Identify risks to the company and escalate accordingly.
  • Monitor claims received to ensure that duplication does not occur resulting in financial loss to the company.
  • Comply with Service Level Agreement or Claims Protocol by administering and facilitating the claims process.
  • Reduce risk to Nedbank Group by monitoring; identifying and reporting trends in claims
  • Drive and support effective teamwork within the department.
  • Engage in appropriate training interventions to promote own professional development.
  • Ensure to demonstrate the company’s values on a daily basis.
  • Adhere to organizational best practice and legislative requirements.
  • Ensure effective claims management service delivery and support.
  • Perform an efficient and accurate administrative function.
  • Identify and recommend opportunities to enhance processes; systems and policies and support implementation of new processes; policies and systems.
  • Initiate and process claims to finalization by ensuring compliance to insurance policy.
  • Comply with Service Level Agreements by adhering to self-imposed standards and timeframes.
  • Minimize risk by complying with all Nedbank policies and procedures.
  • Keep abreast of legislation and other industry changes that impacts on role by reading the relevant newsletters; websites and attending sessions.
  • Understand and embrace the Nedbank vision and demonstrate the values through interaction with team and stakeholders.

Job Requirements:

  • 3 – 5 years’ experience in a Claims environment
  • Knowledge of Life Insurance advantageous
  • Knowledge of insurance and industry legislation advantageous
  • Matric / Grade 12 / National Senior Certificate
  • Occupational Therapy/Physiotherapy/Nursing or similar qualification
  • OT qualification (or similar)
  • Life Insurance qualification
  • Working with a group to identify alternative solutions to a problem
  • Completing various administrative duties (e.g.; answering phones; making copies; filing)
  • Managing conflict situations
  • Comparing two or more sets of information
  • Tracking cost against a budget
  • Capturing data
  • Checking accuracy of reports and records
  • Drafting reports
  • Building and maintaining effective relationships with internal and external stakeholders

Job Details:

Company: Nedbank

Vacancy Type:  Full Time

Job Location: Durban

Application Deadline: N/A

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