Job Description The Claims Specialist manages the assessment of claims and has specialized knowledge of the claims environment. There is a strong focus on accurately and efficiently resolving claims received while ensuring exceptional customer service and satisfaction. Key Outcomes The accurate and efficient processing of claims captured Ad hoc duties – support in the operation of other divisions Contribute towards continuous improvement and innovation at process and procedure level Ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time Contribute towards risk management Assist clients with queries and provide suitable query resolution Accurate completion of administrative targets on a daily basis Deal with multiple telephonic queries from members, brokers and franchises Provide ongoing feedback to clients Perform ad hoc functions as required by management Requirements Insurance industry experience Preferred Experience Health insurance industry experience Education & Qualifications Matric FAIS / RE5 Preferred Education FAIS / RE5 accreditation with minimum 120 credits Technical Skills Computer literate, including Microsoft Access Additional Information Accountability Action orientated Collaborative Communication Business writing skills Manage complexity Problem solving skills Decision thinking Encourages engagement Resilient and adaptive Resourceful Demonstrates self-awareness Purpose driven Significance and values orientated #J-18808-Ljbffr