- Validation of pet claims compared to the cover with OUT
- Cost management in determining the pets medical history and related claims
- Liaise telephonically with clients, veterinarians, vet assistants, vet nurses etc.
- Capture claims
Responsibilities
- Validation of pet claims according to the various insurance policies in place;
- Capture of claims
- Liaising with clients and service providers
- Finalise all reports and administration
- Making decisions, handle all administration and telephonic queries arising around that
- Quantification by drafting a scope of work and finalizing the cost of the claim by looking into reports and previous medical history records.
- Managing the cost from the start of the claim until the claim is finalized within the set parameters and agreed scope of work;
- Handling and resolving complaints and queries from clients,
- Conduct all the above to the required performance and quality standards that are in place
- Operating in a corporate office environment. (Working from the office)
Attributes:
The ideal candidate should demonstrate the following:
- A way of work that anticipates the requirements of various stakeholders when engaging through all mediums of communication
- A passion for consensus-based decision making
- The ability to deliver in a high-pressure, innovative environment
- Curiosity and comfort with numbers and large data sets
- A level of influence that creates buy-in and win-win outcomes with stakeholders
- Excellent negotiation skills
- The ability to engage at strategic, tactical and operational levels of the business
- Excellent verbal and written interpersonal skills
- Ownership of personal development
Skills and Competencies
- Strong administrative capability
- Good report writing skills
- Excellent interpersonal and communication skills (verbal and written)
- Veterinary nursing know how
- Computer literacy is essential with MS Excel and MS Word being core competencies
- Self-disciplined and self-motivated
- Should be able to work independently in an unstructured environment
- Judgment and problem-solving skills
- Negotiation skills
- Stress tolerance
- Tenacity and resilience
- Customer service oriented
- Deadline and results oriented
- Attention to detail
- Adaptability
Minimum Requirements
Essential
- Matric
- A tertiary veterinary nursing qualification is essential
- Computer literacy
Advantageous
- FAIS Accreditation or a FAIS recognized qualification will be highly beneficial
- Registration at the veterinary council
- Regulatory Exam (RE) qualification would be beneficial
- Experience in a Pet insurance environment
An ideal candidate will be able to align their personal work values to the OUTsurance values of awesome service, dynamic, honest, human, passionate and recognition.
In accordance with OUTsurance Insurance Company Ltd Employment Equity goals, preference will be given to individuals who meet the job requirements and are from the various designated groups.