Commercial Claims Consultant

CAREER OPPORTUNITY
An exciting opportunity exists for a Commercial Claims Consultant to join the Claims Department. This position is based in Centurion.

JOB DESCRIPTION
Duties and Responsibilities:
• Capturing of all new claim where applicable.
• Capturing of new claims with Insurer(s) where applicable.
• One point of contact for the client/broker and adherence to first call resolution.
• Delivering of exceptional client service that exceeds customers’ expectations through proactive, innovative and appropriate claims handling.
• Ensuring that customer claims are handled efficiently.
• Verifying FNOL data and/or documentation provided to ensure correct settlements of claims.
• Attending to validation and first call actions on all claims within 1 working hour after registration.
• Achieving minimum targets where applicable.
• Maintaining 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 maintaining oversight of all relevant claims tasks and managing the claims handling process to achieve timely settlement and to minimise inaccuracies.
• Identifying, investigating and resolving any issues relating to claims being handled in line with claims policies and procedures such as SLAs and TAT.
• Accurately checking/determining whether appropriate cover is in place, interpreting of policy wordings and conditions to determine the validity of claims and advising the broker/policyholder accordingly.
• Identifying potential non-disclosure and misrepresentation cases and following Insurer’s procedures to deal with these situations.
• Identifying any red flags on claims which are potentially fraudulent and following Insurer procedures for dealing with these.
• Identifying when a specialist is needed to investigate a claim and following Insurers policies and procedures for appointing these.
• Identifying possible recovery and third-party claims and linking the claims to the legal department upon registration.
• Negotiating effectively within agreed mandate limits using an appropriate negotiation style.
• Being familiar with the Insurers estimate philosophy and applying them accordingly.
• Adhering to Brolink’ s guidelines for referral of claims to management (e.g. large losses)
• Selecting and appointing external experts/vendors following Insurer’s procedures and authority levels.
• Utilising preferred service suppliers when dispatching service to clients in line with BBEEE targets e.g. Spend direction tools.
• Assisting with emergencies and afterhours processes for outsourced business.
• Minimizing cash settlements vs utilization of preferred suppliers for settlement by managing the percentage of cash versus quantum.
• Demonstrating an effective communication style, that motivates, across internal and external teams and individuals that may become involved with claim tasks.
• Salvage collection and management of timelines on salvage claims.
• Meeting of set deadlines.

• Validating claims according to the department structure.
• Delivering strategic results in term of the Brolink Vision and Mission.
• Attending of weekly team meetings, participation on one-on-one discussion and other meetings required from time to time.
• Aligning own behaviour with the organisation culture and values.
• Demonstrating commitment toward the team and participate in building team culture.
• Collaborating and working closely with all role players thereby leveraging constructive team dynamics and innovation.
• Identifying and recommending areas/ways to improve processes.
• Proactively ensuring the most effective use of time, resources, money, materials or equipment in line with policies and procedures.
• Complying with corporate governance policies, procedures and standards.
• Proactively suggesting improvements in customer services where applicable.
• Building relationships with all stakeholders, including brokers and service providers, to best support the company shared goal to achieve profit.
• Managing own development to increase own competencies.
• Adhering to the company policies and procedures and contracted performance agreement.

QUALIFICATIONS AND EXPERIENCE
Qualifications
Minimum Requirements:
•Matric is an essential requirement
•FAIS Credits (as per FAIS requirement)
•Must be Fit & Proper in terms of the FAIS Act
•Regulatory Exam: Representatives
Must not be debarred with FSB
Work Experience
Minimum Requirements:
•2 – 5 years’ experience: Commercial lines claims experience with all types of Motor and Non-Motor claims.
•Full function claims administration (registration of claim, appoint assessors, read assessors report, make decision on claim up to payment of claim)
•Experience in the financial services industry or short-term insurance industry TECHNICAL COMPETENCIES
Minimum Requirements:
•PC literate – Microsoft Office products skills (Outlook, Word, Excel)
•Good typing skills (accuracy & speed)
•Sound knowledge of Insurance principles
•Websure system experience will be an advantage, but not a requirement.

ATTRIBUTES
Attributes required for the position include but are not limited to:
•Positive
•Planning, organising, follow up (time management)
•Stress tolerance, resilience
•Client service orientation
•Attention to detail.

•Sound interpersonal and communication skills with the ability to relate at all levels
•Telephone etiquette
•Decision-making skills (with regards to claims)
•Excellent communication skills (verbal, listening skills and written)

ABOUT THE COMPANY
Brolink is a leading provider of insurance administration services, providing a comprehensive range of insurance products from South Africa’s top insurers. Our portfolio includes personal insurance, commercial insurance as well as niche products such as agriculture, transport, engineering, and aviation.
As a short-term insurance administrator, Brolink provides a dedicated service to professional brokers in delivering on their clients’ business or professional insurance needs.
Applicants must have the following:
•Clear ITC
•Clear criminal record
•Excellent previous employment references.
Our values are Excellence, Integrity, Fairness.
Our Vision is to be the leading digital technology and integration platform for short-term insurance.
Qualified applicants are invited to apply by sending a CV to: HumanCapital@brolink.co.za before 25 June 2024.
Please note that this appointment will be made according to the company’s Employment Equity targets and strategy. Provided you are not contacted within 2 weeks of job application deadline, please consider your application unsuccessful.

Do you want to apply for this position?

Send your CV to HumanResources@brolink.co.za and start your subject line with: Commercial Claims Consultant

Connect With Us

Send us your name and email and we’ll get back to you.

  • This field is for validation purposes and should be left unchanged.