Claims Resolution Expert

2 days ago


Cape Town, Western Cape, South Africa WNS (Holdings) Limited (ADR) Full time
Role Overview:
The Claims Resolution Expert will be responsible for resolving insurance claims and ensuring compliance with agreed quality standards and timescales. This role involves proactively contacting customers by telephone and in writing to resolve issues and de-escalate conflicts.

Responsibilities:
* Assess individual customer and agent situations to provide quotes, policy inquiries, and changes
* Review and resolve policy cancellations, reinstatements, and service-related complaints
* Act as expert for multiple online billing systems and agency portal websites to provide proactive agency and customer support
* De-escalate customer and agent concerns to resolve conflicts and build trust
* Identify new business opportunities driven by customer or agent requests

Qualifications:

  • Cape Town, Western Cape, South Africa Collinson Full time

    Requirements and QualificationsTo be successful in this role, you will need:1+ year of experience in insurance claims or a related fieldFluency in English and PortugueseStrong communication and interpersonal skillsAble to work in a team environmentFamiliarity with FCA regulations and TCF principlesIf you have a passion for delivering exceptional customer...


  • Cape Town, Western Cape, South Africa Hollard Insurance Full time

    We are looking for a skilled Claims Processor to join our team in George. As a Claims Consultant, you will be responsible for managing claims from start to finish, ensuring timely and effective resolution.Key AccountabilitiesEvaluate and investigate claims to determine validity and potential risks.Maintain accurate records and documentation throughout the...


  • Cape Town, Western Cape, South Africa TFG (The Foschini Group) Full time

    About the TeamThe (Store Cash and Cards) department is a dynamic and fast-paced team that plays a critical role in ensuring the smooth operation of our stores' cash management systems. As a Transaction Resolution Expert, you will be responsible for investigating and resolving exceptions related to stores cash banking, EFT banking, and unknown bank...


  • Cape Town, Western Cape, South Africa Lead Generation Group Full time

    Client Advocacy LeadLead Generation Group is seeking a skilled Client Advocacy Lead to advocate for clients and resolve escalated complaints.Key Responsibilities:Advocate for clients and resolve escalated complaints.Act as primary point of contact for clients.Utilize expert de-escalation techniques to handle challenging situations effectively.Adhere to...


  • Cape Town, Western Cape, South Africa Collinson Full time

    Key ResponsibilitiesAs a Customer Service Representative - Claims, you will be responsible for:Dealing with inbound claims calls and responding to customer inquiriesAssessing claims and making recommendations for resolutionProviding accurate information to customers and ensuring timely resolutionsCollaborating with teams to enhance workflows and customer...


  • Cape Town, Western Cape, South Africa Hollard Insurance Full time

    We are seeking an experienced Policy Claim Handler to join our team in George. As a Claims Consultant, you will be responsible for handling claims from initial contact to final resolution.Main Job TasksContact claimants to gather information and clarify details.Investigate claims to determine validity and potential risks.Assess damage or losses and determine...


  • Cape Town, Western Cape, South Africa Nimble Group Full time

    Debt Collection Role: The High Value Account Resolution Expert is a critical role within our collections team at the Nimble Group. As a seasoned professional, you will be responsible for resolving high-value debt accounts through strategic negotiation and relationship-building skills.Key Activities:Develop and execute comprehensive recovery plans for...


  • Cape Town, Western Cape, South Africa Santam Insurance Full time

    We're seeking a highly motivated and organized individual to fill the role of Claims Portfolio Manager in our Complex Claims Unit. As a key member of our team, you'll be responsible for managing a large portfolio of claims, ensuring timely and cost-effective resolutions.We're looking for someone with:Minimum 3-5 years' experience in short-term...


  • Cape Town, Western Cape, South Africa EXL Full time

    As a Claims Management Specialist at EXL, your primary responsibility will be to ensure the efficient processing and resolution of customer claims. This involves upholding transaction quality within predefined parameters, controlling claim costs to minimize leakage, and maintaining accuracy in reserves and payments.Key ResponsibilitiesProcess and resolve...


  • Cape Town, Western Cape, South Africa Santam Insurance Full time

    At Santam, we're seeking a highly skilled Insurance Claims Manager to join our team in the Complex Claims Unit. This role is perfect for someone who thrives in a fast-paced environment and has excellent communication skills.The successful candidate will be responsible for managing a portfolio of complex claims, ensuring timely and cost-effective resolutions....


  • Cape Town, Western Cape, South Africa Status Staffing Full time

    About the PositionThis is an excellent opportunity for a seasoned Claims Consultant to take on a leadership role in our Cape Town office. The successful candidate will be responsible for minimizing claims and expenses, building relationships with stakeholders, and ensuring timely communication.


  • Cape Town, Western Cape, South Africa The Recruitment Council Full time

    Job Title: Regional Office Claims ConsultantLocation: Tygervalley, Cape Town, WCEmployment Type: Full-TimeCompany OverviewLeading South African short-term insurance brokerage focused on tailored solutions and exceptional service.Role OverviewThe Regional Office Claims Consultant will manage the claims process, ensuring timely and accurate resolutions while...


  • Cape Town, Western Cape, South Africa Santam Insurance Full time

    Role OverviewThe Heavy Commercial Vehicle Insurance Claims Expert at Santam will be responsible for managing and controlling Key Performance Indicators (KPIs) for Motor Body Repairers. This includes supporting the Assessing team, handling complaints, and possessing excellent complaints handling and report writing skills.The ideal candidate should have a...


  • Cape Town, Western Cape, South Africa Collinson Full time

    Job title : Claims Handler- Portuguese speakingJob Location : Western Cape, Cape TownDeadline : April 10, 2025Quick Recommended LinksJobs by Location Job by industries Role purpose:The purpose of the role will be to deal with inbound claims calls, claims assessment, incoming e-mails, and conversational claims, providing efficient friendly customer contact...


  • Cape Town, Western Cape, South Africa RELX Full time

    About Our CultureAt LexisNexis Legal & Professional, we're committed to fostering an inclusive and supportive work environment. Our team is passionate about delivering exceptional results and driving innovation.Job SummaryThis exciting opportunity as a Support Consultant offers the chance to join our dynamic team and contribute to the delivery of world-class...


  • Cape Town, Western Cape, South Africa Collinson Full time

    Job title : Claims Handler- German SpeakingJob Location : Western Cape, Cape TownDeadline : April 10, 2025Quick Recommended LinksJobs by Location Job by industries Role purpose:The purpose of the role will be to deal with inbound claims calls, claims assessment, incoming e-mails, and conversational claims, providing efficient friendly customer contact with...


  • Cape Town, Western Cape, South Africa Santam Insurance Full time

    The Complex Claims Unit in Bellville requires a well-qualified individual who is proficient in dealing with large, own damage personal and commercial lines short-term claims. We have a position that is based in Bellville, Western Cape.JOB DESCRIPTIONThe Complex Claims Manager is responsible for the handling, coordinating, managing, negotiating, and...


  • Cape Town, Western Cape, South Africa Collinson Full time

    Job title : Claims Handler- FTC 6 monthsJob Location : Western Cape, Cape TownDeadline : April 10, 2025Quick Recommended LinksJobs by Location Job by industries Role purpose:This position is a FTC for 6 months* The purpose of the role will be to deal with inbound claims calls, claims assessment, incoming e-mails, and conversational claims, providing...


  • Cape Town, Western Cape, South Africa WNS (Holdings) Limited (ADR) Full time

    Job Summary:We are seeking a skilled and experienced Insurance Claims Advocate to join our team. As an Insurance Claims Advocate, you will be responsible for proactively contacting customers by telephone and in writing to resolve claims and ensure compliance with agreed quality standards and timescales.Key Responsibilities:* Assess individual customer and...


  • Cape Town, Western Cape, South Africa Sanlam Group Full time

    Job title : Operations Manager: Disability Claims - BellvilleJob Location : Western Cape, BellvilleDeadline : April 03, 2025Quick Recommended LinksJobs by Location Job by industries Overall purpose of the role:The Disability Claims Operations Manager is responsible for overseeing and leading the operations of multiple disability claims teams, ensuring the...