Claims Investigator: Desktop

7 months ago


Centurion, South Africa Momentum Insure Company Limited Full time

**Introduction**

**Role Purpose**

The purpose of this position is to determine the merit of segmented motor and non-motor claims by performing investigations, verifying the description of the event with the loss and make sure that all valid claims are being processed within SLA from the desk. You would also need to identify problematic claims (red flags) and have it sent for further validation by one of the field teams.

**Requirements**:

- Matric/ grade 12.
- Minimum 3 years’ relevant work experience in short-term motor merit claims/ claims investigation.
- Investigative abilities to identify red flag claims.
- Any previous claims handling, pre-support, and or post-support experience is advantageous.
- Attained product training in the following areas: Motor, Household Contents, Personal Possessions, and all Commercial products.
- Understanding of the Principle of insurance.
- Technical skills in the following areas: End-to-end claims handling procedure. Please

**Duties & Responsibilities**
- Manage workload and complete claims within SLA.
- Validate claims from the desk.
- Listen to relevant recordings, sales/ claims/ Momentum assist.
- Complete merit report with all findings.
- Conduct assessment with clients, interview authorities & witnesses.
- Dealing with Underwriters and Claims technical.
- Handle complaints, queries and all interaction with clients, Intermediaries, Service Providers, internal stakeholders, Relationship Managers.
- Presentation of claims in claims committee.
- Making notes on systems, process claims and upload documents.
- Compiling of rejection letters and distribution thereof to relevant stakeholders

**Competencies**
- Analytical Thinking
- Information Seeking
- Directiveness
- Initiative
- Flexibility
- Client-centric

**Skills**
- Ability to verify and interpret policy and appraisal detail.
- Be able to think on your feet.
- Basic computer skills (MS office).
- Familiar with Momentum Insure systems.
- Good communication skills (Verbal and written).
- Excellent Telephonic skills.
- Ability to handle conflict and negotiate.
- Basic business ethics.



  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** To contribute to the...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** To contribute to the...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** To contribute to the...

  • Claims Investigator

    4 months ago


    Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction**Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page.**Role Purpose** - To contribute to the organisational goals by investigating, negotiating and administering claims. Identify and prevent fraudulent claims and manage expenditure on settled claims.**Requirements**: - Matric - Minimum 3...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** - Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards program), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations.- **Role Purpose** - Manage and lead a...


  • Centurion, South Africa PPS Recruitment Full time

    **Job Advert Summary**: Applications are invited for the above-mentioned position, to be filled as soon as possible. **Minimum Requirements**: **Qualifications & Experience** - Grade 12 - Bachelor’s Degree in Forensic or equivalent (Desirable) - Certified Fraud Examiner (CFE) Desirable - 5+ years experience in a similar role (Desirable) - 2+ Experience in...


  • Centurion, South Africa PPS Recruitment Full time

    **Job Advert Summary**: Applications are invited for the above-mentioned position, to be filled as soon as possible. **Minimum Requirements**: **Qualifications & Experience** - Grade 12 - Bachelor’s Degree in Forensic or equivalent - Certified Fraud Examiner (CFE) - 3+ years experience in a similar role - 2+ Experience in working in the...


  • Centurion, South Africa PPS Recruitment Full time

    **Job Advert Summary**: Applications are invited for the above-mentioned position, to be filled as soon as possible. **Minimum Requirements**: **Qualifications & Experience** - Bachelor’s Degree in Forensic or equivalent - Certified Fraud Examiner (CFE) preferable - Relevant post graduate degree will be advantageous. - 5 years’ experience in similar...


  • Centurion, South Africa OUTsurance Full time

    **Company Description** OUTsurance is a world-class, fast growing short-term & life insurer based in Centurion. You always get something OUT, in that we are vibrant, successful and values orientated with an awesome dynamic culture that aligns its business with its core values of Awesome service, Passionate, Honest, Human, Dynamic and Recognition. Bench...

  • Claims Specialist

    6 months ago


    Centurion, South Africa Health Solutions Full time

    **Introduction** - Momentum Health Solutions, an entity of Momentum Metropolitan Holdings delivers sustainable, integrated health solutions that meet the needs of clients in the different segments and maximise lifetime client value. We build and maintain a culture of innovation, and create value through unique insights of how to achieve specific outcomes by...


  • Centurion, South Africa Ditshaba Full time

    **Purpose**: The Manager: Actuarial Claims Risk is responsible to manage the provision of Actuarial Claims Risk support and advice to the business **Qualifications and Experience** - Bachelor’s Degree/Advanced Diploma in Actuarial Science/Mathematics related qualification. - Qualified Associate/Fellow Actuary of (ASSA/IFoA/SoA/CAS) or any other...

  • Claims Consultant

    6 months ago


    Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations. **Role Purpose** Our consultants...

  • Claims Consultant

    7 months ago


    Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction** - Through our client-facing brands Metropolitan and Momentum, with Multiply (wellness and rewards programme), and our other specialist brands, including Guardrisk and Eris Property Group, the group enables business and people from all walks of life to achieve their financial goals and life aspirations.- **Role Purpose** - Our consultants...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction**Role Purpose**Requirements**: - Previous commercial claims experience is essential - Previous call centre experience in a claims environment - Matric **Duties & Responsibilities** - Capture/register claims on the PREMIA system - Handle administration and follow ups concerning claims - Liaise with clients, service providers and assessors -...


  • Centurion, South Africa PPS Recruitment Full time

    **Job Advert Summary**: Applications are invited for the above-mentioned position, to be filled as soon as possible. **Minimum Requirements**: **Qualifications & Experience** - Matric - Business related qualification (Forensics/Internal Audit/Commercial/IT). - Medical Scheme Administration Experience, 1-2 years essential. - Medical Aid Industry Billing and...


  • Centurion, South Africa Afrirent Auto Full time

    Afrirent Holdings is looking for a Fleet Claims Administrator to handle insurance claims with specific knowledge and expertise to navigate policies, and procedures (operational SLAs). **Main duties and responsibilities** - Conducts claim investigations to validate claims and claim information for correctness and completeness - Requests and verifies the...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction**Role Purpose** - Our consultants within the Claims Department are committed to providing Momentum Insure clients and brokers with awesome service and making their experience with Momentum Insure enjoyable, easy and convenient. A claims consultant captures, validates and finalises contents, vehicle, and other various claims from clients. - The...


  • Centurion, South Africa Affirmative Portfolios Full time

    **Finance ~ Insurance** **Centurion** ***: **Manager: Actuarial Claims Risk - Centurion - Salary: R1 028 791.00 pa (Negotiable)** **Overview** - The - **Manager: Actuarial Claims Risk** is responsible to manage the provision of Actuarial Claims Risk support and advice to the Company business. **Qualifications** - Bachelor’s Degree/Advanced Diploma in...


  • Centurion, South Africa Momentum Life Full time

    **Introduction**Role Purpose**Requirements**: - Relevant Insurance/Financial services Industry knowledge and experience, applicable regulatory requirements, and legislations. - Extensive knowledge of Section 37C of the Pension Funds Act. (essential). - 5 years proven track record in a leadership role/people management (essential). - MS Office Suite (Word,...


  • Centurion, South Africa Momentum Insure Company Limited Full time

    **Introduction**Disclaimer** - As an applicant, please verify the legitimacy of this job advert on our company career page.**Role Purpose** - To oversee and take accountability for key claims functions and as a result ensure that the business continues to efficiently and effectively provide leading administrative services to Momentum Insure Claims and its...