Broker Claims Agent

Job Classification

Req 136033 - Melissa Cloete

Cluster - Nedbank Wealth Cluster - Nedbank Insurance Division

Location - Hybrid

Closing Date - 26 September 2024

Job Family

Career Stream

Leadership Pipeline

FAIS Affected

Job Purpose

By supporting the Risk Advisor within Nedbank Insurance brokerage, we drive the Nedbank Insurance brand and service strategy in achieving targets.

Maximize operational efficiency, identify, and address client needs.Maintain and build relationships with all stakeholders.

Job Responsibilities

• Service and manage claims on a portfolio of clients.
• Responsibilities include registration of claims on internal system and with various Insurers; enforce claims handling process aligned to event requirements; keeping the client in the loop at all stages; negotiation of claims settlement; review of repudiations aligned to policy conditions; regular follow up towards finalisation of claim and closure of claim on internal system.
• Reporting on outstanding claims exceeding 90 days; High value claims; multi-claimants identified.
• Claims handling done in a manner to retain clients; Addressing areas of risk identified and report on policy amendment requirements post claim finalisation.
• Keeping the Risk Advisor in the loop of claims status and possible problem areas regarding claim and/or policy.
• Maintain internal and external relationships, this includes Nedbank stakeholders and clients.
• Adherence to service standards and Service Level Agreement (SLA).
• Identify and recommend ways to improve business processes and systems to operate more effectively and adding value to clients and business.
• Support the achievement of the business vision, strategy, and values.
• Achieving development goals.
• FAIS requirements being achieved and fully complied with.
• Comply with Risk standards, policies and procedures as required by Compliance.
• Share knowledge and industry trends with team and stakeholders during formal and informal interactions.
• Contribute to a culture conducive to the achievement of transformation goals by participating in Nedbank Culture building initiatives.

Essential Qualifications - NQF Level

Essential Qualification

• Qualification as per FSCA list: Cat 1.2 and 1.6 (Short-term Insurance Personal & Commercial lines)
• First Regulatory Examination: Representatives (RE 5)

Preferred Qualification

• NQF 5 Higher certificate in Short-term Insurance

Minimum Experience Level

3-5 years experience in Short term Insurance claims (Personal and Commercial lines) is essential

Technical / Professional Knowledge

Behavioural Competencies