RESPONSIBILITIES
Settlement Negotiation
Utilising your expertise to successfully negotiate the appropriate settlement with
third party insurers/representatives in accordance with the relevant law and
standard operating procedures and make relevant recommendations to senior
colleague(s).
Payment Management
Effectively manage payments from third party insurers/representatives.
Investigation and Analysis
Identify, gather relevant information, analyse and Investigate the merits of the
claims in accordance with standard operating procedures and regulatory laws.
Determine and decide the feasibility of the on-going recovery process, after
assessment of various factors, in order to reduce all costs related to the
recovery.
Customer Management
Manage short term insurance customer (policy holder) relationships and
expectations by using relevant operating system(s). Review, verify and update
the customer claims in accordance with standard operating procedures.
Ensure that upon successful recovery that customer excesses are refunded
timeously and in accordance with standard operating procedures.
Document Preparation
Prepare an appropriate letter of demand to the third party insurers/
representatives in accordance with the standard operating procedure. Produce
accurate evidentiary reports for submission to third parties.
Correspondence
Respond to routine requests using form letters or emails and to more unusual
requests by editing templates to create customized responses.
Continuous Development
Ensure up-to-date knowledge of company products, systems and procedures.
Develop and maintain an understanding of relevant external regulation, and
industry best practices through ongoing education.
Governance
Understand and manage SLA timeframes and legislative prescriptive timeframes
with the third party insurers/ representatives and act timeously to resolve
problems.
Work Scheduling and Allocation
Organize own work schedule in order to get the job done, coordinating with
support services and assigning short-term tasks to others if necessary.
TECHNICAL COMPETENCIES
Negotiation
Negotiate and provide technical guidance when required on how to help the
organization by obtaining consensus between two or more external parties who
may have different interests.
Verbal Communication
Uses clear and effective verbal communications skills without supervision to
express ideas, requesting actions and formulating plans.
Planning and Organizing
Plan, organize, prioritize and oversee activities to efficiently meet business
objectives.
Writing skills
Uses clear and effective writing skills to express ideas, request actions and
formulate plans.
Numerical Skills
Uses an understanding of numerical concepts to perform mathematical
operations such as report analysis.
Computer skills
Supports business processes by understanding and effectively using standard
office equipment and standard software packages.
Office suite software (Basic to Intermediate).
Action Planning
Develop appropriate plans or perform necessary actions based on
recommendations and requirements.
Policy and procedures
Monitor, interpret and understand policies and procedures, while making sure
they match organizational strategies and objectives.
Law and Regulations
Professionally interpret and apply knowledge of laws and regulations.
Analysis
Analyze data for use in claim verification to help guide decision making.
Presentation skills
Communicate with other people and provide technical guidance when required
on speaking in a clear, concise and compelling manner.
General Education
A LLB degree or a Diploma in the legal field (Essential)
General Experience
2-3 years legal recoveries experience (Essential); Experience in the short term
insurance environment (Advantageous)
