Claims Controller

7 days ago

Johannesburg, South Africa Boikago Group Full time

**Job Details**:

- Department Insurance- Minimum experience Associate- Company primary industry Insurance- Job functional area Other**Introduction**

A great company in the insurance sector is actively sourcing for a Claims Controller to join their team for a 6 months fixed term contract and accurately record and examine received claims and any related documentation thereof, to perform document diary maintenance on IMS system, capture claims received by the department on register for reserve and keep a regular follow-up outstanding reserve once claims are verified by Claims Manager**Purpose of the Role**

The Claims Controller will collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short-term insurance regulations or determine the validity of the claims from agent companies, assess the liability and negotiate settlements.**Key Responsibilities**:
**1. Claims processes**
- Accurately record and examine received claims and any related documentation thereof
- Perform document diary maintenance on CMS system
- Assess claims received by the department to reserve and keep a regular follow-up outstanding reserve once claims are verified by Claims Manager
- Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover
- Escalate complex claims to Supervisor
- Assist in the extrapolation of monthly reports on claims

**2. Agency/ Broker Liaison**
- Inform underwriting department of gaps in cover and/or wording documents as well as adjustors such as losses/ gains on premium
- Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim
- Negotiate the settlement and disposition of claims within prescribed mandate; interpret related claims documentation

**3. Perform ad hoc tasks**
- Perform any reasonable tasks as and when required by the Line Manager

**Minimum experience & qualifications required**

**Qualifications**:

- Higher Certificate in Insurance NQF5 (preferable)
- Tertiary education (preferable)

**Experience**:

- 3 - 5 years’ experience in a Claims position of short-term Insurance company

**Perform Ad Hoc tasks**
- Perform any reasonable tasks as and when required by the Line Manager
- ApplyA great company in the insurance sector is actively sourcing for a Claims Controller to join their team for a 6 months fixed term contract and accurately record and examine received claims and any related documentation thereof, to perform document diary maintenance on IMS system, capture claims received by the department on register for reserve and keep a regular follow-up outstanding reserve once claims are verified by Claims Manager

**Purpose of the Role**

The Claims Controller will collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short-term insurance regulations or determine the validity of the claims from agent companies, assess the liability and negotiate settlements.

**Key Responsibilities**:
**1. Claims processes**
- Accurately record and examine received claims and any related documentation thereof
- Perform document diary maintenance on CMS system
- Assess claims received by the department to reserve and keep a regular follow-up outstanding reserve once claims are verified by Claims Manager
- Approve claims within delegated authority after verification of all documents and validation thereof under the policy cover
- Escalate complex claims to Supervisor
- Assist in the extrapolation of monthly reports on claims

**2. Agency/ Broker Liaison**
- Inform underwriting department of gaps in cover and/or wording documents as well as adjustors such as losses/ gains on premium
- Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim
- Negotiate the settlement and disposition of claims within prescribed mandate; interpret related claims documentation

**3. Perform ad hoc tasks**
- Perform any reasonable tasks as and when required by the Line Manager

**Minimum experience & qualifications required**

**Qualifications**:

- Higher Certificate in Insurance NQF5 (preferable)
- Tertiary education (preferable)

**Experience**:

- 3 - 5 years’ experience in a Claims position of short-term Insurance company

**Perform Ad Hoc tasks**
- Perform any reasonable tasks as and when required by the Line Manager

  • Claims Controller

    2 weeks ago

    Johannesburg, South Africa Tiger Recruitment Full time

    Acknowledge claim notification from Logistics service provider Send notice of claim Maintain claim status report Request claim invoice Analyse root cause of claims Manage inventory for claim stock Ensure weekly claim report is sent to management Matric 3-year degree / Diploma in Logistics, Supply Chain, Finance or Claims related - Preferable Minimum 3 years...

  • Claims Controller

    5 days ago

    Johannesburg, South Africa Affirmative Portfolios Full time

    **Customer Service ~ Insurance** **JHB North** ***: **Claims Controller - Illovo** **12 Month Fixed Term** **Purpose** To collate records and examine information to assist in determining claim settlements, within the government framework to ensure compliance with the short-term insurance regulations or to determine the validity of the claims from agent...

  • Claims Controller

    7 days ago

    Johannesburg, South Africa Six Sense Full time

    Gauteng, Johannesburg - Annually Cost To Company (Market related) A well-established short term insurer seeking to appoint an Claims Controller To ensure compliance with the short-term insurance regulations, ensure effective processing of claims within the governed framework and management of claims process within assigned mandate. **Qualifications**: -...

  • Claims Controller

    7 days ago

    Johannesburg, South Africa Six Sense Full time

    Gauteng, JHB - Northern Suburbs - Annually Cost To Company (Market related) A well-established short term insurer is seeking to appoint a Claims Controller. To collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short-term insurance regulations or to determine the...

  • Claims Controller

    6 days ago

    Johannesburg, South Africa PC Staffing Solutions Full time

    **PURPOSE OF THE JOB**: To collate records and examine information to assist in determining claim settlements, within the governed framework to ensure compliance with the short term insurance regulations or to determine the validity of the claims from agent companies, assess the liability and negotiate settlements. **Duties and Responsibilities**: **Claims...

  • Claims Controller

    7 days ago

    Johannesburg, South Africa Six Sense Consulting Full time

    **QUALIFICATIONS & EXPERIENCE**: - Higher Certificate in Insurance NQF5 (preferable) - Tertiary education (preferable) - 3 5 years experience in a Claims position of Short term Insurance company

  • Claims Manager

    1 week ago

    Johannesburg, South Africa Innovation Group Ltd. Full time

    We have an exciting opportunity for an experienced, customer centric and goal orientated Claims Manager to join our Automotive Claims team. In this role you'll be responsible for proactively managing automotive claims whilst optimising spend and achieving high levels of customer satisfaction. **Experience** - A minimum of 5 years' experience in Automotive...

  • Claims Administrator

    1 week ago

    Johannesburg, South Africa Specd Full time

    QUALIFICATIONS AND EXPERIENCE: - Minimum of Grade 12 (Matric) - Strong understanding of the financial services industry and a minimum of 2years insurance experience - Minimum of 2 years administration experience in a claims and policy administration environment KEY OUTPUTS: - Ensure accurate and timeous acknowledgement & settlement of risk claims -...

  • Claims Manager

    1 week ago

    Johannesburg, South Africa Insphired Recruitment Solutions Full time

    Our client in the Insurance industry is currently looking for a **Claims Manager** in Park Town, Johannesburg. **Responsibilities**: - Day to day management of staff. - Delegate and distribute workload as required. - Appraise and review performance targets/progress. - Staff recruitment and selection. - Manage efficiencies in department. - Claims strategy -...

  • Medical Claims Specialist

    9 hours ago

    Johannesburg, Gauteng, South Africa Qetello Holdings Full time

    As a Medical Claims Specialist with Qetello Holdings in Johannesburg, you will play a crucial role in assisting our client, a leading claims administrator in the area, with Private and medical aid claims.Key ResponsibilitiesImplement credit control procedures for specialist doctors and Allied Professionals in accordance with our credit control/debt...

  • Claims Process Coordinator

    6 days ago

    Johannesburg, Gauteng, South Africa Santam Insurance Full time

    About the PositionWe are seeking an experienced Claims Process Coordinator to join our team in the Motor Claims Greater Johannesburg Region. As a key member of our team, you will be responsible for coordinating claims processes and ensuring effective relationships with stakeholders and Motor Body Repairers.Responsibilities:Claims process coordination and...

  • Administrator: Claims

    2 weeks ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring 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 Summary 3...

  • Complex Claims Manager

    5 days ago

    Johannesburg, South Africa Six Sense Full time

    Gauteng, JHB - Northern Suburbs - Annually Cost To Company (Market related) A well-established short term insurer is seeking to appoint a Complex Claims Manager The Complex Claims Manager will effectively manage claims experience within the governance framework, lead and manage complex Claims controllers and ultimately ensuring the attainment objectives...

  • Claims Technician

    7 days ago

    Johannesburg, South Africa FirstRand Full time

    Job Description Dear Future, Claims Technician The role requires you to administrate claims on service plans, maintenance plans and warranties Are you someone who can: - Claims administration and control - Interact positively with groups or teams and participate to a learning and growth culture where information is actively shared - Document and load all...

  • Administrator: Claims

    3 weeks ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring 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 Summary To...

  • Administrator: Claims

    3 weeks ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Empowering 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...

  • Administrator: Claims

    2 weeks ago

    Johannesburg, Gauteng, South Africa Absa Group Limited Full time

    Job title : Administrator: ClaimsJob Location : Gauteng, JohannesburgDeadline : April 05, 2025Quick Recommended LinksJobs by Location Job by industries Job SummaryTo plan, manage and monitor the implementation of claims management activities and processes in order to deliver on approved operational plans in an effective and efficient manner. Job...

  • Administrator: Claims

    6 days ago

    Johannesburg, South Africa Absa Bank Limited Full time

    Bring 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 Summary To...

  • Claims Examiner

    1 week ago

    Johannesburg, South Africa AIG Full time

    Provide an efficient and professional Claims service to customers through prompt and fair settlement of Claims within mandate. Contribute to business development and retention through positioning Claims and Claims service as an AIG product. **PRINCIPLE DUTIES AND RESPONSIBILITIES**: Claims Administration Register the Claim according to procedure Set...

  • Insurance Claims Specialist

    6 days ago

    Johannesburg, Gauteng, South Africa Santam Insurance Full time

    About the RoleWe are seeking an exceptional Insurance Claims Specialist to join our team in the Motor Claims Greater Johannesburg Region. As a key member of our team, you will be responsible for ensuring seamless relationships between stakeholders and Motor Body Repairers.Responsibilities:Effective monitoring and control of KPIs for MBRs.Compliance and...