322 Claims Fulfillment Consultant jobs in South Africa

Authorize claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilizing the claims diary system effectively.

Apply and effectively communicate technical skills and resolve all technical issues using available tools and systems.

Demonstrate a clear understanding and execution of customer complaints and resolutions that must be maintained and exceeded, as well as a clear understanding of claim rejections.

Demonstrate a clear understanding of the management of claims handling that must be followed within the regulated agreements as specified by the relevant regulatory boards.

Ensure a clear understanding of all payments, the correct application of rates to be authorized to the service provider, and the correct appointment of service providers to the claims.

Demonstrate a thorough understanding of the report and quotes to communicate prompt claims resolution to the customer.

Ensure that all Customers are treated fairly, you must have a clear understanding and accurate interpretation of the reported incident, claims history, and correct application of the policy wording.

When communicating technical detail to the Customer, Loss Adjusters to consult or debate the outcome of the claim, ensure lateral thinking and professional engagement with all parties.

Have an inquisitive and investigative mind to communicate and report suspicious activity to the next reporting level if further intervention is required.

Matric
Insurance related qualifications e.g. FETC: Short Term Insurance NQF 4, RE5
5 years Short Term Claims Insurance related experience, preferably with Homeowners/Building experience.

We pride ourselves on our superior customer experience to all our customers, whether internal or external, by applying the highest technical claims knowledge and systems understanding when resolving claims and providing support. Our area of expertise consists of building claims. The inherent goal is to consistently exceed and practice customer expectations as governed by regulations on a regular basis and to drive timeous settling of claims, whilst applying risk management principles at a consultant level.

The following directly centers around your daily obligations:

1. Authorise claims within the set mandate and resolve all claims within the agreed productivity targets and turnaround times by utilising the claims diary system effectively.
2. Apply and effectively communicate technical skills and resolve all technical issues using available tools and systems.
3. Demonstrate a clear understanding and execution of customer complaints and resolutions that must be maintained and exceeded, as well as a clear understanding of claim rejections.
4. Demonstrate a clear understanding of the management of claims handling that must be followed within the regulated agreements as specified by the relevant regulatory boards.
5. Ensure a clear understanding of all payments, the correct application of rates to be authorised to the service provider and the correct appointment of service providers to the claims.
6. Demonstrate a thorough understanding of the report and quotes to communicate prompt claims resolution to the customer.
7. Have a clear understanding of how to operate a claims management system, as well as the use of relevant tools that can enable the quick resolution of a claim and ensure effective communication, such as using Outlook to send emails, SMS and exporting own reports to Excel.
8. Have a working knowledge of the internet and how to use Google Maps.

1. Ensure that all customers are treated fairly and have a clear understanding and accurate interpretation of the reported incident, claims history and correct application of the policy wording.
2. When communicating technical detail to the Customer, Loss Adjusters to consult or debate the outcome of the claim, ensure lateral thinking and professional engagement with all parties.
3. Have an inquisitive and investigative mind to communicate and report suspicious activity to the next reporting level if further intervention is required.
4. Possess the ability to communicate calmly and professionally, yet assertively with difficult customers at all levels and outcomes in a fair, sensitive and persuasive manner, always keeping in mind that the customer must be treated fairly as required.
5. Have a clear understanding of how to engage and communicate with the appropriate specialist service providers to engage on each claim, such as engineers, etc.

Maintain effective relations with all stakeholders within the organisation. This includes but is not limited to:

1. Finance Division to improve on service delivery issues regarding payment authorisations
2. Customer Contact Centre to assist and improve customer communication, complaints and technical support, as well as provide and assist with advice on any noted anomalies or trends that could affect the processing of new claims and identify risks associated
3. Policy Administration for advice of any policy amendments, client queries/requests and complaints resolution
4. Management and peers to provide daily interactions about any contentious matters and or report on urgent claims that require attention or authorisation
5. Procurement Manager, to ensure that service providers strictly adhere to the current service level agreement
6. Claims Fulfillment Manager, to guide, assist, mentor and advise on all matters that can assist you with your growth.
7. Operations Manager, to guide, assist and advise you through your first line report, in line with your growth and any other communication in terms of your claims

1. Customer Service: provide exceptional customer experience throughout the customer journey and assist by providing professional peace of mind while dealing with queries or providing feedback proactively.
2. Panel or non-panel service providers; relationships ensure professional customer service interaction, with loss adjusters, quantity surveyors, forensics experts, etc. and various specialists required to complete the claim successfully
3. Representatives to provide assistance and resolve customer issues.
4. Internal and external auditors to provide assistance during interim or final company audits.

1. The candidate should respond on technical aspects of the policy and be able to translate from reports and respond accurately to the customers accordingly.

1. Insurance related qualifications e.g. FETC: Short Term Insurance NQF 4, RE5

1. 4 years Claims experience, preferably Homeowners/Building Claims experience.

1. 5 years Short Term Claims Insurance related experience, preferably with Homeowners/Building experience

If you meet all of the above criteria, please apply directly here OR send your CV to (Email Disabled)

Please note: due to high volume responses, only candidates that meet the advertised criteria will be contacted.

A well-established digital printing company in Epping, Cape Town invite applications for a level customer service/production coordinator preferably from a retail print background to administer key account logistics and campaign implementation. Previous experience in printing (digital, screen and litho) manufacturing and finishing processes is essential.

Responsibilities:

• Receive production requests and prioritise accordingly to meet deadlines
• Read, process, comprehend, and follow the detailed written and verbal instructions of the customers prior to starting the job to assure the job is done correctly and to clients satisfaction
• Work with production staff and sales staff to ensure customer expectations are met
• Manage account services through quality checks on client products and follow-up with timeous communication
• Coordinating delivery schedules, arranging collections, installations of products and services

Required:

• Previous experience in printing (digital, screen and litho) manufacturing and finishing processes essential.
• Aptitude to learn quickly 
• Must be able to multi-task 
• Must be able to work independently 
• Excellent written and communication skills 
• Strong customer service skills 
• Detail oriented, organised, and deadline-driven
• Must be able to work extended hours to meet campaign deadlines if necessary is non-negotiable
• Previous project management experience will be an advantage
• Must have driver's licence and own transport

If you meet the above requirements please send Cv's to '>

Remuneration:  R12,600
Monthly bonus:  R2,000

The most important requirements for this role:

• You must have and love a cat.
• Be able to work 2 Sundays per month 
• At least one year's contact centre experience (or be a really impressive communicator if you don’t have formal experience).
• You must have a fast broadband connection with good upload and download speed.
• You must be able to communicate effectively in English to customers from the UK.
• You must love cats! This is a role for someone who has a passion for customer service and a passion for cats.

About the company:
Our company is one of the leading premium cat food brands in the UK, renowned for our commitment to using real meat in our recipes. We pride ourselves on being the best and only meat-only premium cat food, dedicated to providing the highest quality nutrition for cats. Our mission is to ensure that every cat receives the best possible diet, and we are looking for purr-fectly passionate individuals to join our team and contribute to this goal.

Who we are looking for:
We are seeking individuals who are enthusiastic about customer service and share our love for cats. The ideal candidate will have:

• Experience in a contact centre environment, showcasing their ability to handle customer inquiries and provide exceptional service.
• A cheerful personality and a pleasant, clear voice that makes customers feel welcome and valued.
• Strong computer literacy, ensuring you can navigate various software and systems with ease.

Requirements:

To successfully perform the role of a home-based customer service representative, you will need:

• A quiet office space at home, free from distractions, with a reliable fibre internet connection.
• A laptop or desktop computer that meets our technical specifications.
• Back-up power solutions to protect against load shedding, ensuring you can work uninterrupted.

If you’re feline like this is the purr-fect role for you and you’re ready to join a company that values both customer service and feline friends, please send your CV to   with the reference: CC07/07  in the title.

We look forward to welcoming a new member to our dedicated team of cat enthusiasts! Don’t paws, apply now and make this oppawtunity your

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The ideal candidate will be a team focused, mature and pleasant person with great customer interaction who will be required to complete multi-level tasks in a professional and timely manner.

Responsibilities

• Processing of claims
• Interaction with customers
• Reconcile debtors efficiently
• Processing of receipts
• Assistance in creating files, quotes and invoices
• Strong product knowledge
• Assistance in selection of eyewear

Qualifications

• Proficiency in Microsoft Office suite (Outlook, Excel, Word, PowerPoint, etc.)
• Excellent written and verbal communication skills
• Ability to multi-task, organize, and prioritize work
• Experience with Optimax will be advantageous
• Prior experience with debtors
• Integrity and honesty
• Marketing experience will be an added bonus.

• Seniority level Entry level

• Employment type Full-time

• Job function Administrative and Customer Service
• Industries Health and Human Services

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