Zithulele Welcome Ncama

• Undertake claims processing by receiving registered claims that are within mandate, check & maintain correct reserves and keep a regular follow-up on outstanding documents.

• Interpret related claims documentation and negotiate settlement and disposition of complex claims.

• Approve and settle claims within delegated authority after verification of all documents and validation thereof under the policy cover.

• Assist in the extrapolation of monthly reports on claims.

• Inform reinsurers, brokers, underwriting & legal departments and loss adjusters accurately and promptly of large losses.

• Exercise proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim.

• Ensure identification of all claims where appointment of surveyors, adjusters or legal representation or litigation is involved and advise the Claims Manager and relevant Executives.

• Handle with responsibility a claims mandate of R60 Million.

Provide input in the compilation of the departmental annual plan.

• Provide input on the review of the claims processes.

• Review and enhance the claims procedure manual for evaluation by the Claims Manager.

• Continuously review departmental risks.

• Establish gaps between industry developments and Sasria covers.

• Compile Statistical Reports.

• Excellent communication skills.

• Manage service level agreements with suppliers and ensure deliverables are satisfactory.

• Great understanding and interpretation of the policy wording for all classes.

• Mentor junior claims consultants (The below R1 Million team).

• Company Overview: Co-owns and co-manages a SETA accredited skills training company
• Co-owns and co-manages a SETA accredited skills training company
• Co-Director: Nana Mavundla
• Contact Number: 083 963 1655

• Register and validate claims

• Appoint assessors

• Arrange car hire

• Manage claims in terms of claims SLA.

• Accurately interpret policy wording against the claim.

• Make decision regarding merit – indemnify or not.

• Negotiate settlement.

• Draft rejection letters for the manager's approval on claims to be rejected.

• Maintain good relationships with both internal and external stakeholders.

• Manage the salvage process (motor & non-motor salvage)

• Detection of fraud and management of fraudulent indicators.

• Keep the operational system updated.

• Handle queries, complaints and all interactions with clients.

• Provide thorough and timeous feedback to the relevant parties.

• Assist the claims manager with some responsibilities.

• Supervisory role to the team members.

• Good underwriting knowledge and understanding.

• Understanding policy wording on various products.

• Register and validate claims

• Appoint assessors

• Manage claims in terms of claims SLA.

• Accurately interpret policy wording against the claim.

• Make decision regarding merit – indemnify or not.

• Negotiate settlement.

• Draft rejection letters for the team leader's approval on claims to be rejected.

• Maintain good relationships with both internal and external stakeholders.

• Manage the salvage process

• Detection of fraud and management of fraudulent indicators.

• Keep the operational system updated.

• Handle queries, complaints and all interactions with clients.

• Provide thorough and timeous feedback to the relevant parties.

• Good underwriting knowledge and understanding.

• Understanding policy wording on various products.

• New business registrations.

• Policy maintenance.

• Policy amendments.

• Policy renewals.

• Policy cancelations and lapses.

• Compile and action monthly Boudreauxs for various brokerages

• Maintain internal and external stakeholder relationships.

• Good understanding of policy wording.

• Excellent communication skills.

• Handle policy queries timeously .

• Maintain SLAs

An Introduction to Short Term Insurance three (3) months contract