- Johannesburg
- Salary: R20 833.00 - R23 000.00 Per Month
- Job Type: Permanent
- Sectors: Insurance Finance
- Reference: 79325
- Employment Equity Position
Vacancy Details
Employer: Ellahi Consulting
EE African candidates only as per employers EE policy
Core purpose of the role: To settle third party claims/recover from third parties so as to limit expenses and contribute positively to the profitability of the organisation.
Location: Isando, Johannesburg (office based position)
Salary: R23 000 per month neg plus benefits (pension and medical aid contribution) - depending on industry experience, relevant and qualifications
About the organisation:
- Work with driven and focused individuals, in a beautiful and harmonious office environment, 5 kilometers from OR Tambo International Airport 5 days a week.
- Multiple opportunities to exceed KPI’s within SLA.
- Access to dynamic and supportive servant leadership and word class company culture within a young JSE listed company that is a leader in next generation mobility solutions.
- Thrive in a digital workspace, using a web based, world class, omnichannel, single user interface Claims system.
Requirements
Academic Qualifications
- Matric
- Valid Driver’s license
- Relevant post matric qualification (advantage)
Work Experience
- 2-3 years related experience
- Claims recoveries experience (MVA - Motor Vehicle Accident Claims)
- Apportionments
- Claims negotiation
- Uninsured insurance collections
Knowledge
- Case law, merits, and apportionments
- Vehicle parts, repair quotations and assessments
- Review motor vehicle claims.
- Analyze portfolio of assigned claims daily.
- Prioritize claims by Quantum, Insurance, Merits and Prescription.
- Build, grow and maintain solid and valuable partnerships within the Claims industry.
- Validate supporting documents against digital checklist and upload to DMS where applicable.
- Assess merits per claim, determine degree of liability and finalise claim calculation for Recovery.
- Submit system generated LOD.
- Log sub statuses, third-party consultations, and comments.
- Receive releases, upload to DMS and diarize payment date.
- Proactively bank money within SLA to exceed KPI’s.
Skills
- Computer, technology and systems skills (basic MS Office)
- Well-developed communication skills to negotiate with third parties
- Developed internal resilience (EQ) and interpersonal skills
- Developed written comprehension and reasoning skills
- Developed numerical checking and reasoning skills
- Broad solutioning and problem solving skills
- Spatial reasoning skills
Personal Attributes
- Attentive to detail
- Preference for planning and organising
- Focus on getting things done
- Concern for working within parameters
- Concern for communicating clearly
- Focus on convincing and persuading
- Remain resilient with stress and pressure
- Focus on analyzing and solving problems
Important:
- Preference for thinking practically
- Focus on initiating action
- Appreciation for challenging others with respect
- Preference for team working
Competencies
- Examining information
- Convincing people
- Showing composure
- Meeting timescales
- Checking things
- Following procedures
- Managing tasks
Important:
- Documenting facts
- Interpreting data
- Adopting practical approaches
- Challenging ideas
- Team working
Key deliverables and outputs
- Strategic/Financial
Payment Process
- Request payment from finance department and receive proof of payment within 15 working days.
- Payments received from third parties must be reconciled with the cash book and an allocation request sent to Finance daily (recoveries)
- Ensure that all liability refunds due to customers are requested on a daily basis.
- Operational
Diary planning
- Accept new claims from Claims Administrators at beginning of every day.
- Attend to all files on daily diary and ensure that all overdue files are attended to.
- View and action files daily.
- Update files with progress comments daily on Natural
File preparation
- Determine if all documentation is accounted for, if not requested from Administrator
- Send requisition letter to the third party/draft and send a letter of demand to third party.
- Appoint assessor based on merits of the third-party case (quantum >R10 000)
- Update liability codes as per current status of the case
- Assess file for possible breach and prepare same, then forward to National Damage Admin Supervisor
Settlement
- Assess merits of the case, determine degree of liability and settlement calculations/quantum calculations.
- Prepare settlement proposal.
- Refer all settlement offers received for approval to Claims Manager
Negotiation
- Draft settlement offer and send to third party
- If settlement is accepted by third party, request payment upon signed release.
- If settlement is rejected, negotiate terms and conditions with customer.
- Draft letter of demand based on quantum calculation and negotiate settlement with third party based on merit assessment.
Litigation
- Prepare a litigation file and refer the file to Manager for approval (recoveries)
- Receive and hand over summons to Manager.
- Acknowledge receipt of summons to Attorney
- Determine if all documentation is accounted for in file if none requested from Attorney.
- Obtain authorisation for revised settlement from Claims Manager & Supervisor
- Send revised settlement advise to 3rd party Attorney.
- Receive signed revised settlement advise from third party and request payment upon receipt.
- If rejected, review the cost effectiveness of appointing an Attorney.
- If cost effective, obtain authorisation from Claims Manager & Supervisor to appoint Attorney.
- Hand over file to Attorney
- Follow up on case progress with Attorney monthly
- Proactive
- Organized
- Resilient
- Effective
- Efficient
- Exceptional verbal & written communication skills
- Excellent telephone mannerism
- Calm, composed and fast paced individual with focus on exceeding KPI’s within SLA
Reports : Compile report/s monthly and submit on last working day of the month (Range: new and closed files, adjustments, settled cases, cabinet listings)
Stakeholders :(internal & external customers, suppliers, shareholders, communities)- All correspondence is acknowledged.
- All queries and complaints are actioned.
- Attend all team huddles and meetings as scheduled
Internal and External Stakeholders
- The role requires close engagement and collaboration with key internal and external stakeholders
Internal Stakeholders
- Finance Team
External Stakeholders
- Attorneys, Third Parties
22 people have applied for this job. 1076 people have viewed this job.
About Ellahi Consulting
WHAT WE DO:
Strategic Talent Sourcing Solutions
Our integrated talent advisory service enables the implementation of business strategy through people by sourcing, supporting, mapping and coaching talented individuals.
NBI Brain Profiling and Eco-metric assessments
Accredited NBI and Eco-metric assessment practitioners provide advisory guidance to augment individual contribution, enhance team success and develop leadership careers.
We offer a wide range of candidate authentication solutions to verify qualifications, criminal records and background information, ensuring peace of mind
Through bespoke solutions we facilitate various talent development tactics and leadership coaching to activate your talent strategy and better equip candidates, graduates, teams and future leaders
We devote our energy to empower individuals and teams to thrive during times of change, strengthening their emotional functioning, optimizing performance and building resilience.
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