Claims Processor Specialist

3 weeks ago


Durban, KwaZulu-Natal, South Africa The Recruitment Council Full time

At The Recruitment Council, we are seeking a skilled Claims Processor Specialist to manage and process motor insurance claims efficiently. This role is based in Kloof, Durban, KZN, and reports to the General Manager Claims.

About the Role

This is a full-time position that requires strong analytical and decision-making skills, as well as excellent communication and negotiation abilities. The successful candidate will be responsible for handling and processing motor insurance claims from initiation through to resolution, ensuring compliance with policy terms and company procedures.

Key Responsibilities
  • Claims Management: Evaluate claims to determine validity, coverage, and appropriate settlement amounts, working closely with insurers under our binder agreements.
  • Client Interaction: Communicate with clients to gather necessary information, provide updates on claim status, and address any queries or concerns they may have.
  • Documentation: Collect and review all relevant documentation, including accident reports, repair estimates, and other supporting materials required for claim assessment.
  • Assessment: Determine the feasibility of each claim, considering various factors such as policy terms, damage extent, and customer statements.
  • Coordination: Liaise with repairers, assessors, and other stakeholders to facilitate the claims process and expedite resolutions.
  • Compliance: Ensure all claims are handled in accordance with regulatory requirements, company policies, and insurer mandates.
Requirements
  • Education: Matric (Grade 12) or equivalent.
  • Certifications: Relevant underwriting or insurance certifications (e.g., NQF Level 4, RE5) are advantageous.
  • Skills: Strong analytical and decision-making skills, excellent communication and negotiation abilities, deep understanding of short-term insurance products, high level of accuracy and attention to detail.
Salary Information

The estimated salary for this position is R250,000 - R350,000 per annum, depending on experience and qualifications.

Working Environment

The Recruitment Council offers a dynamic and supportive work environment, with opportunities for professional growth and development.



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