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Position

Personal Claims Consultant

Details

Location: 

Durban, ZA

Date:  9 Jul 2024
Reference:  134776

Job Classification

Job Family

Administration, Operations and Facilities

Career Stream

Admin, Transact Processing and Production

Leadership Pipeline

Manage Self: Technical

FAIS Affected

FAIS Affected - Yes

Job Purpose

To provide claims administration support in respect of Long-term insurance matters to stakeholders in line with Nedbank strategy.

Job Responsibilities

  • Assess and make decisions on General claims (Death, Retrenchment and Loss of income claims)
  • 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.
  • Build networks with stakeholders by participating in forums.
  • Identify, build and maintain relationships with stakeholders to understand their Long-term insurance needs.
  • Meet client needs by ensuring claims are processed according to service level agreement and insurance policy.
  • Initiate and process claims to finalisation by ensuring compliance to insurance policy.

Job Responsibilities

  • 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.
  • Build networks with stakeholders by participating in forums.
  • Identify, build and maintain relationships with stakeholders to understand their short term insurance needs.
  • Meet client needs by ensuring claims are processed according to service level agreement and insurance policy.
  • Initiate and process claims to finalisation by ensuring compliance to insurance policy.
  • Comply with Service Level Agreements by adhering to self imposed standards and timeframes.
  • Minimise 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.
  • Improve personal capability and stay abreast of developments in field of expertise by identifying training courses and career progression for self through input and feedback from managers
  • Ensure personal growth and enable effectiveness in performance of roles and responsibilities by ensuring all learning activities are completed, experience practiced and certifications obtained and/or maintained within specified time frames.
  • Ensure information is provided correctly to stakeholders by maintaining and sharing knowledge with team.
  • Contribute to a culture conducive to the achievement of transformation goals by participating in Nedbank Culture building initiatives (e.g. staff surveys etc.).
  • Participate and support corporate social responsibility initiatives for the achievement of key business strategies.
  • Identify and recommend opportunities to enhance processes, systems and policies and support implementation of new processes, policies and systems.

People Specification

Essential Qualifications - NQF Level

  • Matric / Grade 12 / National Senior Certificate

Preferred Qualification

Higher Certificate: Long -Term Insurance

Essential Certifications

    Preferred Certifications

    Minimum Experience Level

    2 - 3 years Long- Term Insurance

    Technical / Professional Knowledge

    • Administrative procedures and systems
    • Banking procedures
    • Business principles
    • Business terms and definitions
    • Data analysis
    • Governance, Risk and Controls
    • Relevant regulatory knowledge
    • Relevant software and systems knowledge
    • Business writing skills
    • Cluster Specific Operational Knowledge

    Behavioural Competencies

    • Earning Trust
    • Collaborating
    • Customer Focus
    • Decision Making
    • Initiating Action
    • Work Standards
    • Managing Work

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    Please contact the Nedbank Recruiting Team at +27 860 555 566 

     

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