Management Consulting - Sandton, Gauteng, South Africa
Complire's value proposition is our industry expertise, knowledge to provide a claim operational service and consulting offering by addressing FSP's specific business needs. Complire draws on trends in developing claims services to meet best practice claims operational needs of FSP's to ensure that the FSP's can operate in a highly regulated environment, treating the customers fairly whilst still achieving viable financial results.We recognise the need for financial services providers to contain costs of claims as well as claims processing costs whilst meeting the increasing regulatory requirements and policyholder expectations. Complire strives to assist FSP's in creating efficient and cost-effective processes and systems within the claims environment.Due to extensive experience within relevant sectors of the industry, we have identified the key risk components within the claims environment which can potentially expose a client to regulatory, operational, outsourcing and reputational risk. Depending on the need of the client, our services can include any one of or a combination of the following services, however not limited to the following:• Audit claims and liability/recovery processes;• Process engineering and optimisation;• Data analysis and creation;• System audits;• Staff assessment and training;• Selecting a choice of service providers/recommending providers and sourcing proposals;• Recruitment;• Weighing up alternative options of operational processing and recommendations;• Negotiating SLA's with service providers;• Arbitration;• Processing Recovery, Liability and Litigation matters;• Identifying lost economic opportunities and leakage;• Closed and open file reviews;• Creating and improving claims reporting;• Mandates to be agreed and implemented; and• Metrix and KPIs to measure binder performance.
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