Company Bryte Insurance Company Limited
Reference # CS
Published 25/03/2022
Contract Type Permanent
Salary Market Related
Location Durban, KwaZulu-Natal, South Africa

Introduction Who We Are

Bryte Specialist Motor (Pty) Ltd (BSM) is a heavy commercial vehicle (HCV) risk specialist in the Southern Africa Heavy Commercial Short-Term Insurance sector. Applying our unparalleled sector insights, proven expertise and foresight, we partner with customers and brokers to protect their businesses and improve their risk profile across the continent. BSM approaches customer risk with purpose, proactively working with brokers and customers to enable better risk decisions.

Claims Specialist

The aim of this role is:

The purpose of the function is to attend to the adjustment and management of claims with the aim of minimising the losses due to the company and approving only those claims that we are truly liable.



Job Functions Client Services

Industries Insurance

Specification Key Tasks & Accountabilities

Effective processing of claims

• Prioritise daily activities to enable processing and maintenance of all claims
• Within Mandate
• Check the accuracy of registered claims cover details and add claimant details timeously
• Confirm estimate is accurate, deducting excess to work out estimate of claim through investigating policy cover
• Complete fraud list and Identify claims that requires further fraud verification
• Ensure computer generated letter is forwarded to relevant broker
• Liaise with stakeholders to gather and ensure accuracy of information
• If required, inform other relevant departments within claims (e.g. recoveries, salvages, claims verification units etc)
• Capture diary entry immediately after registration process, describing progress and action of claim
• Deal with and ensure resolution of queries on an on-going basis
• Obtain necessary documents/assessors report and make amendments to estimates ensuring authorization within policy cover
• Continually update and maintain diary system
• Draw payment on relevant system, ensuring accuracy of banking details, invoice number, VAT numbers, class allocation, client release, etc
• Ensure letters are forwarded to brokers demonstrating breakdown of payments
• Ensure accurate codes are allocated to payment of claims to minimize leakage
• Finalize payments on Workflow (Within Mandates)
• Review all open files on a quarterly basis by assessing check reports and claims not processed report (Estimate Review)
• If encounter system problems, log calls timeously with relevant department

Effective customer focus and service

• Liaise with internal stakeholders to facilitate problem resolution and efficiency of work activities
• Communicate with stakeholders on a daily basis to inform of progress of claims and claim policy and procedure
• Deal with and resolve any queries relevant to area; if unable to resolve, escalate to manager for resolution
• Represent the organization through maintaining high levels of professionalism, service excellence and customer excellence
• Adhere to internal policies, processes and procedures

Effective adherence to company claims policy, standards and SLA

• Ensure adherence to all company policies at all times
• Ensure adherence to negotiated flexi hours
• Maintain dress code, behaviour and absenteeism

Internal Relationship:

• All Claims Departments, Sales and Underwriting.

External Relationship:

• Brokers (Telephonically and Directly), Clients, All Claims Suppliers and Service Providers
  

Requirements Qualifications & Experience

• Minimum Degree or NQF Level 4
• Minimum 5 years claims handling/ adjustment experience

Experience:

• Proven experience in handling of large loss claims, especially cases valued over R1,000,000.00 in Property/ Business Interruption claims.
• Relevant experience of managing service providers, negotiation, and face to face meetings with stake holders.
• Sound knowledge, experience and understanding of short-term insurance
• General Claims Handling skills
• Understanding of Bryte guiding principles and philosophy and framework
• Applications of claims technical guidelines
• Basic insight into company strategies and business plans
• Clear understanding of Financial Services compliance framework
• Sound knowledge of Bryte organizational structure
• In-depth knowledge and understanding of relevant company policies, processes and procedures
• Sound internal network
• Knowledge of relevant workflow systems

Other Requirements

• Accuracy
• Attention to detail
• Customer service orientation (including assertiveness)
• Oral and written communication
• Planning and organizing
• Problem solving
• Self-awareness
• Teamwork
• Work standards
• Guiding Principals

Technical Skills

• Computer and system skills
• Administrative skills
• Telephone skills
• Communication skills
• Negotiation

Bryte Insurance has adopted the mandatory vaccination policy, requiring its workforce to be fully vaccinated with effect from 01 January 2022. All prospective employees are required to disclose their vaccination certificates or cards as part of the recruitment process.
Job Closing Date 01/04/2022

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