Job Advert Summary
This position is for providing guidance and assistance to PPS Short-Term Claims department in the segmentation and channelling of claims in reducing the loss ratio and claims costs. Need to do responses to the PPS Internal Arbitrator and NFO regarding complaints.
To entrench a solid claim’s handling philosophy across PPS STI. To control all claims related aspects emanating from the claims environment and to supply technical claims advice to PPS Claims department. Also need to onboard and Manage Service Providers
Minimum Requirements
- Matric (Grade 12)
- Minimum 15 years short term insurance claims experience
- Minimum 10 years Loss Adjusting or Short-Term Verification Experience
- Claims Management experience
- Motor-, Non-Motor-and Commercial Claims experience
- Conflict management and Client service
- Computer literate
- Code 8 Driver’s license with own vehicle.
- CFE Qualification (Advantage)
Knowledge:
- Knowledge of Motor Body repair invoices and quotations
- Knowledge of Non-Motor Invoices and quotations
- Knowledge of the enquiries on ITC, XDS or credit checks
- Knowledge of Salvage Coding on Written Off Vehicles
Duties and Responsibilities
Claims
- Provide focus on profitability measures in terms of claims spent and act as support for the Technical Operational Manager of PPS STi.
- Assess the merits of all claims to determine their validity against the policy wording.
- On a daily basis check all claims registered and determine the way forward (Immediate settlement, Fast Track verification, Full Verification)
- Monitor the financial movements of claims by collating claims paid and the estimates.
- Guide and initiate change initiatives in the PPS Short Term Claims area through regularly engaging with the area and giving support with continuous monitoring and auditing.
- Physical checking up on SAPS, Towing, witnesses to determine the way forward with the claim.
- Do all IA and NFO feedback and update the register.
Reporting & Audits
- Compile audit finding reports and distribute to all relevant stakeholders.
- Monitor statistics in order to timeously notify PPS STI management of any negative changes in claims.
- Constantly reviewing and identifying insufficient claims processes and efficiencies and recommend improvements to ensure cost efficiency.
- Checking/Auditing MBR (Motor Body Repair) Quotation and check if damages are consistent with the claim’s description.
- Checking/Auditing Non-Motor Claims, quotations and invoices.
- Checking alarm reports and keypad downloads. Obtain Lightning reports if needed.
- Keep record and provide a monthly report of savings.