Sasria SOC LTD: Claims Learnership 2025. The Learners must be able to process and manage claims within delegated authority, ensuring their validity, assessing liability, and negotiating settlements, while ensuring excellent customer service and cost containment. Claims must be managed within the regulatory framework to ensure compliance with short-term insurance rules.
Reference Number: SAS250226-1
Job Title: Claims Learnership X4 (12 Months)
Minimum Requirements
- Matric.
- No Experience Required
Duties and Responsibilities
1. Administration and Claims processing
- Perform administration functions – registration of new claims and loading (and authorization) payments.
Examine and validate new claims and any related documentation thereon. - Adjust claims and ensure that the merits align with Sasria policy cover.
- Ensure the appropriate documents supporting the quantum are received and the calculations are correct.
- Perform document daily maintenance on the IMS system.
- Update the reserve as per the reserving policy and keep a regular follow-up outstanding proof of quantum.
- Exercises proper judgment and decision-making to analyze the claims exposure, determine the proper course of action, and appropriately settle the claim within delegated authority.
- Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover.
- Escalate complex and contentious claims to the Supervisor.
- Manage and ensure that all other external resources and handle the claim within the required procedures and Sasria philosophy.
- Update notes on the system regularly to ensure notes reflect the latest status of the claim.
- Report underwriting department of gaps in cover, omitted documents as well as losses/gains on premium.
- Handle all customer inquiries and queries promptly and in line with policy.
2. Agency/Broker Liaison
- Negotiate the settlement of claims.
- Liaise with Agent companies and brokers regularly on the progress of the claim.
- Update all relevant stakeholders on the progress of the claim
3. Perform ad hoc tasks
- Perform any reasonable tasks as and when required by the Line Manager.
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