Claims Services

1 month ago

Cape Town, South Africa Marsh Full time
The Claims Services - Senior Consultant position exits within the Cape Town Team. The position offers an exciting challenge and career opportunity for someone who is willing to work hard and contribute to growth and development.

We will count on you to:

  • Review and understand incoming documentation seeking guidance or advice where necessary
  • Identify all potential policies and coverages, seek validation where necessary, and advice where uncertain or clarification required
  • Promptly enter or update claims information into appropriate claims application(s) in compliance with any local service standards
  • Distribute (report) new claim notifications, or updates, to all insurers for all policies or coverages
  • Communicate with clients, colleagues, third parties or insurers for status updates, information requests, instructions or query resolution
  • Provide support for procedural guidance to clients and facilitate information requests between insurers and clients
  • Prepare settlement documentation and where appropriate facilitate collection of claims monies
  • Monitor incoming (& outstanding) funds from insurers and other relevant parties (aggregates/floats/funds ) , prepare payment requisitions and where applicable to facilitate payment to client/beneficiary
  • Adhere to compliance/regulatory requirements, or Marshâs Professional standards to maintain quality & avoid potential Error & Omission (E&O) situations
  • Build and maintain effective relationships with clients, colleagues, third parties or insurers
  • Effectively communicate with clients, colleagues, third parties or insurers as appropriate at all times, and as per local procedures
  • Ensure all applicable claims applications, records and files are kept up to date at all times
  • Manage a portfolio of complex or significant value claims, or client transactions.
  • Provide guidance to and manage multiple stakeholders in the management of complex claims

What you need to have:

  • At least Secondary or High School qualifications required
  • Diploma or university degree preferred (or equivalent experience)
  • Minimum 10 yearsâ work experience
  • Minimum of 5 years Non-Motor corporate claims handling experience
  • All Lines of Business experience
  • Self-insurance / Aggregates claims handling knowledge.
  • Clear and concise oral and written communication skills
  • Excellent organization skills â able to prioritize work and meet deadlines
  • Excellent interpersonal skills â able to work within a team
  • Comfortable and experience working with technology (solutions)
  • Proficient in Microsoft Office tools
  • Insurance/ claims handling knowledge
  • Insurance market, clients and claims management skills related to area of expertise
  • FAIS Accreditation

What makes you stand out:

  • RE Examinations â beneficial
  • Relevant industry practice or Line of Business experience
  • Strong networking skills
  • Experience with ClearSight

  • Claims Service Consultant

    9 hours ago

    Cape Town, South Africa Santam Full time

    OPPORTUNITY Santam’s Riscor Claims Department has positions available for a Claims Service Consultant based in Bellville, Western Cape. JOB DESCRIPTION The purpose of this position is to get the allocated Motor/Non-Motor Claims ready for an assessor to be appointed, to handle all such claim enquiries and be responsible for the allocated claim...

  • Claims Assessor

    2 days ago

    Cape Town, South Africa JenRecruitment Full time

    A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal...

  • German Speaking Customer Service and Claims Handler

    7 days ago

    Cape Town, South Africa Black Pen Recruitment Full time

    **Black Pen Recruitment** Phone: +27 (0) 21 418 2897 **Cape Town office** Cape Quarter Lifestyle Village, Neighbourgood Workspace, 23-27 Somerset Road, De Waterkant, Cape Town, 8005 **German Speaking Customer Service and Claims Handler (Insurance/Medical)** Our Client is one of the world’s leading medical assistance and claims handling companies,...

  • Group Claims Manager

    5 days ago

    Cape Town, South Africa O'Brien Recruitment Full time

    **Role Duties and Responsibilities**: - Supporting regional claims leads with their daily supervisory duties to progress, investigate and settle all claims within the required SLAs. - Reviewing problematic claims (including bad risks) and providing recommendations to regional claims leads / agents based on claim evidence and relevant policy wording. -...

  • Claims Administrator

    6 days ago

    Cape Town, South Africa PSG Insure Full time

    **Job description**: The Claims Administrator is responsible for coordinating and overseeing, managing, negotiating settlement of the claim and is accountable for the finalisation of the claim end-to-end. **Responsibilities**: - Register claims and appoint assessors - Manage claims in terms of claims SLA - Make decision regarding merit - indemnify or not -...

  • German Speaking Customer Service and Claims Handler

    7 days ago

    Cape Town, South Africa Black Pen Recruitment Full time

    **German Speaking Customer Service and Claims Handler (Insurance/Medical)** Our Client is one of the world’s leading medical assistance and claims handling companies, annually processing cases around the globe. They have a unique gateway to a comprehensive worldwide provider network, local know-how, assistance and cost containment for travel insurance,...

  • German Customer Service

    3 days ago

    Cape Town, South Africa Black Pen Recruitment Full time

    **German Customer Service & Claims Handler (Insurance)** Our Client is the World’s leading medical assistance and claims handling companies who process cases around the globe. They have a unique gateway to a comprehensive worldwide provider network, local-know how, assistance and cost containment for travel insurance, health insurance and corporate...

  • Claims Specialist

    4 days ago

    Cape Town, South Africa Sanlam Full time

    **Opportunity** - This career opportunity is available at **Echelon** a division of Santam for a **Claims Specialist - Recovery and Complex Claims Manager**, who will be based in **Cape Town.** **What will make you successful in this role?** - To be able to work well under pressure with mínimal supervision. - Be a disciplined individual with good attention...

  • Claims Examiner-liability

    4 days ago

    Cape Town, South Africa Sedgwick Full time

    Claims Examiner-Liability IF YOU CARE, THERE’S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwick’s talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we...

  • Claims and Customer Care Consultant

    2 days ago

    Cape Town, South Africa O'Brien Recruitment Full time

    **Job Roles and Responsibilities**: - Manage the end to end claims process from lodgment to settlement. - Day to day management of claim lodgments, customer inquiries and validating reported insurance claims. - Answer incoming calls and provide customers with empathy, certainty, guidance and support from lodgment to final resolution of claim situations and...

  • Claims and Customer Care Consultant

    6 days ago

    Cape Town, South Africa Job Crystal Full time

    **SPECIFICATION** A global InsureTech business is looking for a Claims and Customer Care to join their AU and NZ Team, but the position will be SA based (Working hours are 00h30 to 09h30) The business provides an end-to-end service where they facilitate the whole process from contacting the client to gathering information/evidence, reviewing and validating...

  • Gap Claims assessor

    3 weeks ago

    Cape Town, South Africa Adzuna ZA B C2 Full time

    Requirements: Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.Matric.Responsibilities: To check and validate all GAP claim documents received and to request any outstanding documents. To follow the claims process and capture the claim information into the system. To verify and update...

  • German Claims Handler

    6 days ago

    Cape Town, South Africa Merand Corbett & Associates Full time

    ? Key Responsibilities: - Communication and processing arrangements for medical insurance claims - Efficient claims handling, including data entry and invoice assessment - Friendly and outstanding customer service - Thrive in a multi-lingual and multi-cultural environment ? Requirements: - Fluent in German and English - Minimum Matric qualification,...

  • Claims Analyst

    1 day ago

    Cape Town, South Africa Engen Full time

    **Purpose of the Job**: To fulfil all aspects of demurrage (import/export/coastal), including claims for other Divisions, Chemical and Lubricants. To be responsible for the vessel vetting nominations for the company and to review the Vetting Policy. To co-ordinate and report on all demurrage, marine, insurance and legal claims within Supply & Trading Dept...

  • GAP Claims Assessor

    3 weeks ago

    Cape Town, South Africa Status Staffing Full time

    Our Client in Claremont is looking to employ a GAP Claims Assessor with Medical Aid claims processing and administration / insurance industry experience to join their teamA recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE   :           PermanentSECTOR                         :          ...

  • GAP Claims Assessor

    3 weeks ago

    Cape Town, South Africa Status Staffing Full time

    A recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE : PermanentSECTOR : FinanceBASIC SALARY : R16,000START DATE : A.S.A.P / ImmediateREQUIREMENTS:2 years experience in a similar roleInsurance industry experience (essential)Medical Aid...

  • Claims Analyst

    2 days ago

    Cape Town, South Africa Engen Full time

    **Purpose of the Job**: To identify value enhancement activities within Supply Chain, monitor and recommend solutions to enhance the berth utilisation, review the vessel vetting policy for the company and the optimum choice of 3rd party vetting contractor and co-ordinate & review all aspects of commercial (import/export) and coastal demurrage, including...

  • Danish Speaking Claims Handler

    4 days ago

    Cape Town, South Africa Black Pen Recruitment Full time

    Our client has serviced its expatriate and travel insurance shareholder companies since 1971. Their insurance clients list global players, as well as smaller companies. Depending on their specific requirements they provide emergency assistance via our 24/7 assistance hubs and chosen language platforms, travel assistance, claims handling, specialised...

  • Swedish Speaking Claims Handler

    4 days ago

    Cape Town, South Africa Black Pen Recruitment Full time

    Our client has serviced its expatriate and travel insurance shareholder companies since 1971. Their insurance clients list global players, as well as smaller companies. Depending on their specific requirements they provide emergency assistance via our 24/7 assistance hubs and chosen language platforms, travel assistance, claims handling, specialised...

  • Claims Handler with German

    2 days ago

    Cape Town, South Africa Jev Jobs Solutions Full time

    **Claims Handler with German & English language skills** **Salary**: R19.000 Medical Aid: Discovery Health, Plan: Classic Smart, R2200, from start of contract (+/-7 days) Pension Annuity: 10% (on top of base salary) after the 6 months employment 21 days of leave Parking 13th check = bonus paid out in birthday month Working hours: Monday - Friday 9am -...