Claims Resolution Specialist

2 weeks ago


CapeTown, South Africa The Recruitment Council Full time
Job Overview

The Regional Office Claims Consultant position at The Recruitment Council offers a unique opportunity to excel in claims management.

We are seeking a detail-oriented and proactive individual with strong analytical skills to oversee the entire claims process for personal and commercial insurance policies.

This role requires effective communication and negotiation skills to collect and verify relevant claim documentation, evaluate claims for validity and appropriate settlement amounts, and coordinate with assessors and stakeholders to expedite claims processing.

Key Responsibilities
  • Manage the claims process from start to finish, ensuring timely and accurate resolutions while adhering to policy terms and company standards.
  • Collect and verify relevant claim documentation, including required paperwork and supporting evidence.
  • Evaluate claims for validity and determine appropriate settlement amounts based on policy terms and company guidelines.
  • Collaborate with assessors and stakeholders to expedite claims processing and ensure seamless communication.
  • Maintain compliance with regulatory requirements and company policies, ensuring all necessary steps are taken to resolve claims efficiently.
Required Skills and Qualifications
  • A matriculation certificate or equivalent qualification; relevant insurance certifications (e.g., NQF Level 4, RE5) are an advantage.
  • Strong analytical, communication, and negotiation skills to effectively manage claims and build relationships with clients and stakeholders.
  • Attention to detail in document and data management to ensure accuracy and efficiency in claims processing.
Benefits and Compensation

We offer a competitive salary of R250,000 per annum, reflecting the complexity and demands of this role.

In addition to a lucrative salary, you will enjoy a comprehensive benefits package, including medical aid, retirement fund contributions, and paid time off.

This is an exceptional opportunity to advance your career in claims management while working with a reputable organization like The Recruitment Council.



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