![Ultra Personnel](https://contents.bebee.com/companies/za/ultra-personnel/avatar-BuYg4.png)
Binder and Outsourced Claims Specialist
2 weeks ago
Further Education and Training Certificate in Short-Term Insurance NQF 4, and/ or a Higher Certificate in Short term Insurance - NQF 5
Class of Business certification (Personal Lines & Commercial Lines) Highly advantageous
Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised.
Marine and Engineering knowledge Highly advantageous
Computer literate Microsoft Word, Excel, and Outlook
Experience in Commercial and Personal lines
The purpose of role is to validate and process short-term insurance claims following a fortuitous event.
Working in close partnership with an allocated portfolio of brokers, the Binder and Outsource Claims Specialist will specifically make claims validation decisions on complex and high value claims that exceed the brokers mandate (for both Motor and Non-Motor, Personal Lines and Commercial Lines).
The Claims specialist will also fulfill a coaching role, assisting and guiding binder and outsource brokers to make correct claims validation determinations on all claims that fall within their defined mandate.
At least 5-10 years relevant work experience in claims validations and settlement (both in Motor and Non-Motor claims, as well as in both Personal Lines and Commercial Lines classes of business)Work experience within a licensed insurer, or Underwriting Manager
Sound technical knowledge and understanding of relevant short term insurance policy wording
Validation of claims in line with Company guidelines and Standard Operating Procedures
Management of Large loss and complex claims
Appointment of necessary providers
Authorizations\Settlement of claims
Rejection of claims
The Claims Specialist will oversee the training and oversight of the binder and outsource brokers
Processing payments within the turn-around time
Payment confirmations to Brokers and Suppliers
Relationship Management with allocated brokers, including training of brokers with binder and outsource agreements
Oversight and management of binder and outsource brokers
Complaints handling and resolution
Liaising with Service Providers
Liaising with brokers and clients
Key clients
Brokers, internal staff and managers, service providers & policy holders
-
Binder & Outsourced Claims Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Unique Personnel Full timeJob Number 68924Job Type PermanentJob Title Binder & Outsourced Claims SpecialistComputer Skills MS Excel,MS Outlook,MS Word,TIALIndustry Insurance BrokeringCity JohannesburgProvince Gauteng Validation of claims in line with Company guidelines and Standard Operating Procedures Appointment of necessary providers Authorizations\Settlement of claims Rejection...
-
Senior Non-motor Claims Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Ultra Personnel Full timeMatric Certificate and Regulatory ExamsFurther Education and Training Certificate in Short-Term Insurance NQF 4, and / or a Higher Certificate in Short term Insurance - NQF 5Class of Business certification (Personal Lines & Commercial Lines) Highly advantageousMust be compliant with FAIS Fit and Proper requirements with track-record of working...
-
Manager: Claims Management Binders
2 weeks ago
Johannesburg, Gauteng, South Africa Absa Bank Limited Full timeBring your possibility to life Define your career with us With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job SummaryTo plan,...
-
Claims Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Ulwazi Staffing Solutions Full timeClaims Specialist urgently required your claims benefits experience requiredMust have at least 1 to 2 years experience in claims**Job Type**: Permanent
-
Regulatory Support Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Santam Full timeCAREER OPPORTUNITYSantam Specialist Business has a career opportunity for a Regulatory Administrator in our Specialist Regulatory team who will be based in Johannesburg. The Specialist Regulatory team provides support services to businesses to ensure adherence to regulatory requirements at an operational level. Role PurposesTo engage and support with various...
-
Motor Claims Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Ultra Personnel Full timeMatric (Grade 12) is essentialFETC (Further Education & Training Certificate) in Short Term Insurance NQF credits)Higher Certificate in Short Term Insurance : NQF 5 or higher is highly advantageousSuccessfully passed RE 5Class of Business certification (Personal Lines & Commercial Lines) Highly advantageousMust be compliant with FAIS Fit and Proper...
-
Claims Team Leader
2 weeks ago
Johannesburg, Gauteng, South Africa CallForce Full timeCallForce is a prominent Business Process Outsourcing (BPO) known for delivering exceptional outsourced solutions to our clients.We are seeking a dedicated and experienced Claims Team Leader to lead our claims department effectively. As a Claims Team Leader, you will play a pivotal role in supervising a team of consultants, ensuring efficient and accurate...
-
Claims Specialist
4 weeks ago
Johannesburg, Gauteng, South Africa Jobking Full timeCLAIMS SPECIALIST:NON-LIFE CLAIMS (LEVEL C1)Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation in Johannesburg in 1968. The Head Office of MRoA is in...
-
Claims Specialist
2 months ago
Johannesburg, Gauteng, South Africa Jobking Full timeCLAIMS SPECIALIST:NON-LIFE CLAIMS (LEVEL C1)Munich Reinsurance Company of Africa Limited (MRoA) has been operating in South Africa for 50 years, although the Munich Re (Group) was active on the Continent via Munich Re in Munich for some years prior to commencing the Southern African operation in Johannesburg in 1968. The Head Office of MRoA is in...
-
Regulatory Support Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Sanlam Full timeWhat will you do?Santam Specialist Business has a career opportunity for a- Regulatory Administrator in our Specialist Regulatory team who will be- based in Johannesburg. The Specialist Regulatory team provides support services to the businesses to ensure adherence to regulatory requirements at an operational level.To engage and support with various...
-
Business Claims Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Deka Minas (Pty) Ltd Full timeOne of our leading clients offering comprehensive financial solutions that include bond pre-approvals, home loans, short-term insurance, life insurance and more through its various subsidiaries is looking to build their Dream team with the Right People.JOB PURPOSE:As Business Claims Specialist you will provide support to the Product Manager, reviewing claims...
-
Operations Manager
2 weeks ago
Johannesburg, Gauteng, South Africa Santam Full timeCAREER OPPORTUNITYSantam Specialist Business has a career opportunity for an Operations Manager Heavy Haulage in Heavy Haulage (Transport) team who will be based in Johannesburg. The Heavy Haulage (Transport) team specializes in insuring heavy commercial vehicles in the transport industry. ROLE PURPOSESTo manage and oversee Team LeadersTo manage and oversee...
-
Specialist Claims Advisor
2 weeks ago
Johannesburg, Gauteng, South Africa Marsh Full timeSpecialist Claims Advisor:What can you expect?Marsh is a global leader in insurance broking and innovative risk management solutions. We help clients quantify and manage risk and help them unlock new growth opportunities.Having an established presence in more than 130 countries worldwide, national and international collaboration and connectedness are at our...
-
Claims Specialist: Motor
2 weeks ago
Johannesburg, Gauteng, South Africa Santam Full timeWhat will you do?This career opportunity is available at SHA Risk Specialists a division of Santam for a Claims Specialist: Motor, who will be based in Johannesburg, Illovo. What will make you successful in this role?Claims PortfolioAttend to all aspects related to a portfolio of claims e.g. new claims, current files, diary, mail, recoveries, third party...
-
Claims Specialist: Accident
2 weeks ago
Johannesburg, Gauteng, South Africa Santam Full timeWhat will you do?This career opportunity is available at SHA Risk Specialists a division of Santam for a Claims Specialist: Accident & Health, who will be based in Johannesburg: Illovo. What will make you successful in this role?Claims PortfolioAttend to all aspects related to a portfolio of claims e.g. new claims, current files, diary, mail, recoveries, Agg...
-
Claims Assessor Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa FirstRand Full timeJob DescriptionHello Future Senior Claims SpecialistWelcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver productsand services that make us incredibly proud of people that make it happen.As part of our talent team, you will be surrounded by unique talents, diverse minds, and an adaptable environment that lives up tothe...
-
Claims Assessor Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa FirstRand Full timeJob DescriptionDear Future, Claims Assessor SpecialistAre you someone who can: Accurate assessment, investigation and management of longterm insurance claims including disability (temporary or permanent disability) and critical illness claims. Ensuring that the claims assessment and that the standard of decision is consistent with the company values and...
-
Marine Claims Specialist
2 weeks ago
Johannesburg, Gauteng, South Africa Bryte Insurance Full timeThe Marine Claims Specialist's role is to, with limited supervision, manage the non-standard complex claims (high severity/complexity) in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Bryte Basics.Key Tasks & Accountabilities Promptly handle marine claims and take responsibility to resolve...
-
Junior Specialist: Claims
2 weeks ago
Johannesburg, Gauteng, South Africa Absa Bank Limited Full timeEmpowering Africa's tomorrow, together one story at a time. With over 100 years of rich history and strongly positioned as a local bank with regional and international expertise, a career with our family offers the opportunity to be part of this exciting growth journey, to reset our future and shape our destiny as a proudly African group.Job SummaryTo...
-
Financial Assistant
2 weeks ago
Johannesburg, Gauteng, South Africa Ultra Personnel Full timeMatric and B. Com Accounting qualification or similarAt least 3 years finance experience within the short term insurance industry is essentialStrong Excel skills are requiredOwn transport and willing to work over time when requiredThe purpose of the role is to assist in managing submission of debit order tapes, review junior team members recons of premium...