Claims Specialist
4 weeks ago
**Claims Specialist**
An insurance company has a new position available for a Claims Specialist: Liability who will be based in Johannesburg - Illovo.
**Minimum Requirements**
- Experience 2 years in Liability / PI claims (handling at an insurer or litigation at an attorney firm)
- Matric
- Legal qualification required
**Duties**
Claims Practice Management
- Attend and manage all aspects related to a portfolio of high quantum specialist Liability claims such as claims registration, case management, drafting, diary, recoveries, and settlement negotiations.
- Draft settlement agreements and other legal documents within the mandate.
- Strategically manage a portfolio of claims.
- Manage loss adjusters and attorneys' appointments on matters and ensure compliance with agreed service level agreements.
- Monitor and manage legal spending of attorneys and loss adjusters.
- Manage system processing and compliance with systems by way of payments, updating signed-off reserves, proper recordal of information, etc.
- Attend to Operational duties as allocated
- Compile and manage risk reports when required
- Actively manage and record claims above certain thresholds on Risk Module and report on matters to Claims Co and Executive where required.
- Comply with the internal and external regulatory framework and internal and external processes and procedures in accordance with organizational standards.
- Draft processes and procedures that are compliant with the relevant regulatory frameworks and applicable legislation.
- Effectively liaise and interact with Underwriters.
Analysis
- Consider, analyze and interpret insurance policy and the contractual impact thereof for the determination of coverage;
- Critically analyze the facts of the matter and their impact on the underlying policy.
- Draft opinions on the interpretation of coverage in relation to the facts and the applicable policy, present and motivate;
- Draft opinions on merits and quantum of matter with the relevant case law and legislation applicable;
- Critically consider and evaluate the information provided and identify the information required.
- Conduct a strategic assessment of claims and make strategic decisions and recommendations on the handling of claims.
- Develop and maintain an understanding of technical and legal aspects impacting the policy’s operation.
- Make representations and recommendations on improved wording and trends identification to underwriters
Individual Claims Leadership
- Provide appropriate and required level of involvement, assistance, and/or guidance to junior Claims Staff;
- Assist Management team in providing continuous training and development to the claims department
- Assist in identifying and developing SOP’s and processes to ensure claims department effectiveness.
- Take initiative in creating opportunities for interaction with Brokers and Insureds.
Client Liaison (Internal and External)
- Liaise with clients to resolve queries to the satisfaction of the affected parties within the scope of authority and/or responsibility.
- Prepare for and attend meetings and consultation with brokers, insureds, legal representatives, and loss adjusters
**Job Types**: Full-time, Permanent
**Salary**: Up to R480,000.00 per year
Application Question(s):
- Do you have a legal qualification?
**Education**:
- High School (matric) (preferred)
**Experience**:
- Liability / PI claims: 2 years (preferred)
-
Motor Claims Specialist
4 weeks ago
Johannesburg, South Africa Ultra Personnel Full timeMatric (Grade 12) is essential FETC (Further Education & Training Certificate) in Short Term Insurance NQF 4 (150 credits) Higher Certificate in Short Term Insurance : NQF 5 or higher is highly advantageous Successfully passed RE 5 Class of Business certification (Personal Lines & Commercial Lines) Highly advantageous Must be compliant with FAIS Fit and...
-
Claims Specialist: Casualty Claims
4 weeks ago
Johannesburg, 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: Casualty Claims, who will be based in Johannesburg, Illovo. What will make you successful in this role? Claims Practice Management Attend and manage all aspects related to a portfolio of specialist claims such as claims...
-
Motor Claims Specialist
4 weeks ago
Johannesburg, South Africa CIB PTY (LTD) Full time**Main purpose of the role**: The main purpose of the Claims Specialist's role is to validate and administer a client's motor claim following a fortuitous event. In accordance with Standard Operating Procedures, claims guidelines, the specialist own mandate, and the client's policy schedule, the specialist will make a claims settlement...
-
Motor Claims Specialist
4 days ago
Johannesburg, Gauteng, South Africa Manpower Group Sa (Pty) Ltd Full timeThe main purpose of the Claims Specialist's role is to validate and administrate a client's motor claim following a fortuitous event.In accordance with Standard Operating Procedure, claims guidelines, the specialist's own mandate, and the client's policy schedule, the specialist will make a claims settlement determination.Requirements:Matric (Grade 12) -...
-
Claims Management Specialist
4 days ago
Johannesburg, Gauteng, South Africa Energy At Work Projects Full timeAbout Us: Energy At Work Projects is a leading provider of insurance solutions, dedicated to delivering exceptional services to our clients. Our team of experts is committed to helping homeowners recover quickly and effectively in the event of a claim.Role Overview: As the Homeowners Claims Team Leader, you will be responsible for overseeing a team of claims...
-
Claims Specialist
7 days ago
Johannesburg, South Africa Kaelo Full timeCompany Description Kaelo provides **essential healthcare solutions** ensuring the **physical and psychosocial wellbeing** of **all South Africans** towards **lasting social change**. **Job Description**: The Claims Specialist manages the assessment of claims and has specialised knowledge of the claims environment. There is a strong focus on accurately and...
-
Motor Insurance Claims Specialist
4 days ago
Johannesburg, Gauteng, South Africa Manpower Group Sa (Pty) Ltd Full timeThe Motor Insurance Claims Specialist role is pivotal in ensuring the effective validation and administration of client motor claims following an unfortunate event.In accordance with Standard Operating Procedure, claims guidelines, the specialist's mandate, and the client's policy schedule, they will make a claims settlement determination.Key...
-
Senior Claims Negotiator
5 days ago
Johannesburg, South Africa F & G Sourcing Specialist Full timeOur insurance client is seeking a Senior Claims Negotiator to join their claims team in Bedfordview. Key Responsibilities: All aspects of claims handling including: - New claims registration - Assess merits of claim in terms of policy wording - Appointment of contractors/loss adjusters - Authorisation / rejection of claims - Requests for claims payments -...
-
Claims Specialist
1 day ago
Johannesburg, South Africa Santam Full timeMAIN PURPOSE OF JOB This career opportunity is available at Mirabilis a division of Santam for the Claims Specialist, who will be based in Johannesburg. The main purpose of the job is to administer claims which include accurate claim assessment, assessor appointment, corresponding with brokers and service providers and attending to claim documentation. It...
-
Business Claims Specialist
5 days ago
Johannesburg, 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...
-
Motor Claims Specialist
2 weeks ago
Johannesburg, South Africa HR CAPITAL RECRUITMENT PTY Ltd Full time**MOTOR CLAIMS SPECIALIST** required for a well-established insurance company based on the East Rand to validate and administrate motor claims in accordance with Standard Operating Procedure, claims guidelines, the specialist’s own mandate, and the client’s policy schedule. **Minimum Requirements**: - Matric (Grade 12) - essential - FETC (Further...
-
Claims Specialist
4 weeks ago
Johannesburg, South Africa HR CAPITAL RECRUITMENT PTY Ltd Full time**NON-MOTOR CLAIMS SPECIALIST** required for a well-established insurance company based on the East Rand to validate and process short-term insurance claims following a fortuitous event. In accordance with Standard Operating Procedure, claims guidelines, the specialist own mandate, and the client’s policy schedule, the Claims Specialist will make a claims...
-
Specialist Claims Advisor
4 weeks ago
Johannesburg, South Africa Marsh Full time**Specialist 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...
-
Contract / Claim Specialist
5 days ago
Johannesburg, South Africa Unique Personnel Full time**Job Number** - 68737 **Job Type** - Permanent **Job Title** - Contract / Claim Specialist **Computer Skills** - MS Office **Industry** - Engineering **City** - Johannesburg **Province** - Gauteng- Identifying and analyzing events that will give rise to Claims or Variation Orders. - Calculation of costs relating to Claims and Variation Orders. -...
-
Claims Specialist: Liability
6 days ago
Johannesburg, South Africa Santam Full timeWhat will you do? This career opportunity is available at SHA Risk Specialists a division of Santam for the Claims Specialist: PI, who will be based in Johannesburg, Illovo. What will make you successful in this role? Claims Practice Management Attend and manage all aspects related to a portfolio of specialist claims such as claims registration, case...
-
Claims Specialist
4 weeks ago
Johannesburg, Gauteng, South Africa Santam Insurance Full timeJob title : Claims Specialist : Technical Trainer JHB (JG7)Job Location : Gauteng, JohannesburgDeadline : March 07, 2025Quick Recommended LinksJobs by Location Job by industries KEY RESPONSIBILITIESProvide ongoing Technical and Operational training (technical, claims procedure for existing staff and new appointments) as required. Ensure compliance to...
-
Claims Specialist
4 weeks ago
Johannesburg, South Africa Antal Full time**Claims Specialist **(non-motor liability)** - JHB** We are looking to connect with Claims professionals with a minimum of 1 - 5 year’s non-motor liability experience. Our client is a leading insurance company based in Johannesburg and is in need of a Claims Specialist who will be responsible for attending and managing all aspects related to a portfolio...
-
Claims Specialist
2 hours ago
Johannesburg, South Africa Antal Full time**Claims Specialist **(non-motor liability)** - JHB** We are looking to connect with Claims professionals with a minimum of 1 - 5 year’s non-motor liability experience. Our client is a leading insurance company based in Johannesburg and is in need of a Claims Specialist who will be responsible for attending and managing all aspects related to a portfolio...
-
Health Claims Specialist
4 weeks ago
Johannesburg, South Africa Kaelo Full timeCompany Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...
-
Health Claims Specialist
2 hours ago
Johannesburg, South Africa Kaelo Full timeCompany Description **About Kaelo** Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. Kaelo meets the Healthcare needs of Corporate and Retail clients across South Africa - products offerings include Medical Insurance, Medical Aid, Gap Insurance, Kaelo Money and...