Ned Bank

Claims Assessor
1,451 reviews

Johannesburg, Gauteng

Claims Assessor
Nedbank – Johannesburg, Gauteng

Pulled from the full job description
Nedbank Wealth Insurance

Full Job Description

Nedbank Recruiting
Requisition Details & Talent Acquisition Contact
103339 – Debbie Fuyani
JHB – Newtown
Nedbank Wealth Insurance
Career Stream
Admin, Transact Processing and Production
Leadership Pipeline
Manage Self: Technical
Claims Assessor
Job Purpose
To provide claims administration support in respect of short term insurance matters to stakeholders in line with Nedbank strategy.
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.
Inbound and Outbound Calls (Household Claims)
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.
Appointing Service Providers.
Approving qoutes
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.
Making claims decisions (Cancel, Settle, Reject, Finalise).
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.
FAIS Affected
FAIS Affected – Yes
Essential Qualifications – NQF Level
Matric / Grade 12 / National Senior Certificate
Preferred Qualification
Higher Certificate: Short Term Insurance
Minimum Experience Level
3-5 years working experience as a Claims Assessor in the short term and long term insurance space dealing with commercial and personal lines insurance within the Banking/Financial Services Industry.
Type of Exposure
Working with a group to identify alternative solutions to a problem
Completing various administrative duties (e.g.; answering phones; making copies; filing)
Managing conflict situations
Comparing two or more sets of information
Tracking cost against a budget
Capturing data
Checking accuracy of reports and records
Drafting reports
Building and maintaining effective relationships with internal and external stakeholders
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
Customer Focus
Decision Making
Initiating Action
Work Standards
Managing Work
Preference will be given to candidates from the underrepresented groups
Please contact the Nedbank Recruiting Team at +27 860 555 566

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