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Insurance Claims Manager

3 weeks ago


Randburg, Gauteng, South Africa PPS Full time
Job Description

We are seeking an experienced Insurance Claims Manager to join our team at PPS Short-Term Insurance Company.

The successful candidate will be responsible for validating insurance claims in a friendly, courteous, and professional manner to all stakeholders within the prescribed turnaround times. This includes accurately documenting all interactions, decisions, and transactions related to the claims process, investigating the merits of a specific claim, and determining if the services of an assessor / loss adjustor would be required.

The ideal candidate will have 5+ years experience in a Short-Term Insurance Claims environment, with strong communication skills, customer service skills, and a strong work ethic. They will also have strong analytic and problem-solving skills, as well as adaptability to different stakeholders, audiences, and environments.

Duties and Responsibilities
  • Validate claims and investigate the merits of a specific claim.
  • Determine if the services of an assessor / loss adjustor would be required and appoint the most appropriate preferred assessor / loss adjustor where necessary.
  • Verify that all requirements are met in terms of the policy contract.
  • Confirmation of conflicting statements with relevant parties.
Process Optimization and Efficiencies

The successful candidate will also be responsible for identifying opportunities for process improvements and efficiency enhancements within the claims handling department. They will offer feedback and suggestions to enhance customer experience and streamline operations.