Company: Bryte Insurance Company Limited
Reference # ACM1
Contract Type: Permanent
Salary Market: Related
Location: Gaborone, South East, Botswana

Introduction
The role of the Assistant Claims Manager is to authorise payments within 1 day of receipt, monitor incoming claims, process and pay large loss claims within mandate timeously and accurately and within policy cover, ) guidance to claims staff. Audit function – internal / external and closed file audits

-Attend to queries
-Maintain registers
-Include Salvage / Recoveries / CVU next 3 months

Specification

Key Tasks & Accountabilities

1. Effective processing of claims – Large Loss & Complex

•Prioritise daily activities to enable processing and maintenance of all claims
•Confirm estimate is consistently accurate, deducting excess to work out estimate of claim through investigating policy cover
•Liaise with stakeholders to gather and ensure accuracy of information
•If required, inform other relevant departments within the claims environment claims (e.g. recoveries, salvages, large losses, etc)
•Deal with and ensure resolution of queries on an on-going basis – 1st line of escalation to prevent mundane escalations to Manager, Principal Officer, CEO and Regulator
•Obtain necessary documents/assessors report and make amendments to estimates ensuring authorization within policy cover
•Continually update and maintain diary system
•Draw payment on I90 & TIAL, ensuring accuracy of banking details, invoice number, VAT numbers, class allocation, client release, etc
•Ensure letters are forwarded to brokers where required
•Ensure accurate codes are allocated to payment of claims to minimise leakage
•Finalize claims on the relevant system correctly & promptly
•Review all open files on a regular basis by analysing reports
•If encounter system problems, log calls timeously with relevant department
•Effective control and monitoring of leakage
•Ensure business standards and agreed SLAs of all claims related matters are adhered to
•Review closed files and establish procedures and controls to minimize leakage

2. Effective Customer relationship Management

•Provide exceptional customer in line with TCF – brokers / agents / client / service providers / external parties / internal parties
•Liaise with internal stakeholders to facilitate problem resolution and efficiency of work activities
•Communicate with stakeholders often to inform of progress of claims and claim policy and procedure
•Manages the resolution of client queries quickly and accurately as possible by processing the request and complaints timeously
•Manage turnaround times and meet deadlines
•Monitor and manage the improvement of customer queries
•Manage the handling of customer calls promptly, professionally and enthusiastically
•Provide assistance on escalated matters of the team to resolve clients queries timeously to achieve business requirements
•Recommend suggestions and implementations plans to management to assist in team problem solving and process improvements to achieve customer excellence
•Provide ongoing feedback to relevant stakeholders including management

3. Effective adherence to company claims policy, standards and SLA

•Ensure adherence to all company policies at all times
•Complete relevant registers accurately and daily if applicable – rejection / CVU / write-offs / recoveries / motor assessors
•Ensure adherence to working hours

4. Management of average cost per claim and directing of spend

•Continuously monitor and manage the quality of the claims data completed through conducting sample auditing on an on-going basis
•Ensure effective and speedy enquiry/query resolution
•Ensure effective and speedy payment resolution
•Recommend improvements to reduce average cost per claim – data analysis of reports
•Monitor & Review the service of different vendors and repairers with specific regard to cost containment – via reports i90 +TIAL
•Ensure that Claims Technicians are compliant and adhering to business requirements and standards, set rates and guides as stipulated by service level contracts and agreements with relevant stakeholders, internally and externally.
•Ensure compliance with company policies
• Ensure that all Claims Technicians provide relevant and correct information to clients/vendors to ensure that work is completed according to set standards and agreements, that ensures best interest of the client and the company in relation to claims management
•To direct and control spend with monthly reports to Manager (spread of spend per type of supplier)

Requirements
Education & Experience:

HCII or equivalent qualification plus 5 years claims experience
NQF Alignment – Level 5

Knowledge:

•Sound knowledge, experience and understanding of short-term insurance
•Sound knowledge of motor industry
•Understanding Bryte philosophy and framework
•Basic insight into Group and Departmental strategies and business plans
•Clear understanding of Bryte compliance framework
•Sound knowledge of Bryte organizational structure
•In-depth knowledge and understanding of relevant company policies, processes and procedures
•Sound internal network
•Knowledge of relevant IT systems

Technical Skills:

•Computer skills
•Administrative skills
•Telephone skills
•Communication skills
•Problem-solving skills
•Relationship Management

Other Requirements:

•Accuracy
•Attention to detail
•Concern for excellence
•Customer service orientation
•Negotiation
•Oral and written communication
•Planning and organizing
•Problem-solving
•Self-awareness
•Teamwork
•Work standards

CLICK LINK BELOW TO APPLY ONLINE

https://insurance.jobsbotswana.info/MDYRZ

Job Closing Date 17/07/2019