Binder and Outsourced Claims Specialist
1 week ago
Annually Cost To Company (Market related)
The main purpose of the Claims Specialist’s role is to validate and process short-term insurance claims following a fortuitous event. Working in close partnership with an allocated portfolio of brokers, the Binder and Outsource Claims Specialist will specifically make claims validation decisions on complex and high value claims that exceed the broker’s mandate (for both Motor and Non-Motor, Personal Lines and Commercial Lines).
The Claims specialist will also fulfill a coaching role, assisting and guiding binder and outsource brokers to make correct claims validation determinations on all claims that fall within their defined mandate. The Claims Specialist will oversee the training and oversight of the binder and outsource brokers.
Key Performance Areas:
- Validation of claims in line with Company guidelines and Standard Operating Procedures
- Management of Large loss and complex claims
- Appointment of necessary providers
- Authorizations/Settlement of claims
- Rejection of claims
- Processing payments within the turn-around time
- Payment confirmations to Brokers and Suppliers
- Assisting clients and brokers over the phone/email with claims and queries
- Relationship Management with allocated brokers, including training of brokers with binder and outsource agreements
- Oversight and management of binder and outsource brokers
- Complaints handling and resolution
- Liaising with Service Providers
- Liaising with brokers and clients
Requirements:
- Matric Certificate – essential
- Regulatory Exam
- Further Education and Training Certificate in Short-Term Insurance – NQF 4, and/or a Higher Certificate in Short term Insurance - NQF 5
- Class of Business certification (Personal Lines & Commercial Lines) – Highly advantageous
- Must be compliant with FAIS Fit and Proper requirements with track record of working unsupervised.
- Marine and Engineering knowledge – Highly advantageous
- Computer literate – Microsoft Word, Excel, and Outlook
- Experience in Commercial and Personal lines
- At least 5-10 years’ relevant work experience in claims validations and settlement (both in Motor and Non-Motor claims, as well as in both Personal Lines and Commercial Lines classes of business)
- Work experience within a licensed insurer, or Underwriting Manager.
- Experienced in making claims settlement determinations with mandate exceeding R250 000.00
- Sound technical knowledge and understanding of relevant short term insurance policy wording
Please note that only shortlisted candidates will be contacted
#J-18808-Ljbffr
-
Binder and Outsourced Claims Specialist
2 months ago
Johannesburg, South Africa Manpower Group SA (Pty) Ltd Full timeThe main purpose of the Claims Specialist’s role is to validate and process short-term insurance claims following a fortuitous event. Working in close partnership with an allocated portfolio of brokers, the Binder and Outsource Claims Specialist will specifically make claims validation decisions on complex and high value claims that exceed the broker’s...
-
Binder & Outsourced Claims Specialist
1 month ago
Johannesburg, South Africa CFS Recruitment (Pty) Ltd Full timeMy Short Term Insurance Client in Bedfordview is looking for a Binder & Outsourced Claims specialist. You will be responsible to validate and process short-term insurance claims following a fortuitous event. Working in close partnership with an allocated portfolio of brokers, you will specifically make claims validation decisions on complex and high-value...
-
Insurance Claims Specialist
3 weeks ago
Johannesburg, Gauteng, South Africa CFS Recruitment (Pty) Ltd Full timeJob Title: Binder & Outsourced Claims SpecialistCFS Recruitment (Pty) Ltd is seeking a highly skilled Binder & Outsourced Claims Specialist to join our team. The successful candidate will be responsible for validating and processing short-term insurance claims following a fortuitous event.Key Responsibilities:Validate and process short-term insurance claims...
-
Insurance Claims Specialist
1 month ago
Johannesburg, Gauteng, South Africa CFS Recruitment (Pty) Ltd Full timeJob Title: Binder & Outsourced Claims SpecialistCFS Recruitment (Pty) Ltd is seeking a skilled Binder & Outsourced Claims Specialist to join our team. As a key member of our insurance team, you will be responsible for validating and processing short-term insurance claims following a fortuitous event.Key Responsibilities:Validate and process short-term...
-
Insurance Claims Specialist
3 weeks ago
Johannesburg, Gauteng, South Africa Manpower Group SA (Pty) Ltd Full timeJob Summary:The Binder and Outsourced Claims Specialist will be responsible for validating and processing short-term insurance claims following a fortuitous event. This role requires close partnership with an allocated portfolio of brokers, making claims validation decisions on complex and high-value claims that exceed the broker's mandate.Main...
-
Insurance Claims Specialist
3 weeks ago
Johannesburg, Gauteng, South Africa CFS Recruitment Full timeJob Title: Binder & Outsourced Claims SpecialistCFS Recruitment is seeking a highly skilled Binder & Outsourced Claims Specialist to join our team. As a key member of our insurance team, you will be responsible for managing claims and ensuring that our clients receive the best possible service.Key Responsibilities:Manage claims from inception to closure,...
-
Claims Specialist
4 days ago
Johannesburg, Gauteng, South Africa CFS Recruitment Full timeJob Title: Binder & Outsourced Claims SpecialistAbout the Role:CFS Recruitment is seeking a skilled Binder and Outsourced Claims Specialist to join our esteemed clients in the insurance industry. This role requires a highly motivated individual with a strong background in claims processing and a keen eye for detail.Responsibilities:Minimum...
-
Claims Specialist
1 month ago
Johannesburg, Gauteng, South Africa CFS Recruitment Full timeJob Title: Binder & Outsourced Claims SpecialistCFS Recruitment is seeking a highly skilled and experienced Binder & Outsourced Claims Specialist to join our team. As a key member of our team, you will be responsible for managing and coordinating the claims process for our clients.Key Responsibilities:Manage and coordinate the claims process from inception...
-
Binder Claims Administrator
4 weeks ago
Johannesburg, South Africa Old Mutual Group Full timeBinder Claims Administrator Apply Location: Johannesburg Time Type: Full time Posted on: Posted Yesterday Job Requisition ID: JR-59288 Let's Write Africa's Story Together! Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this. Job Description This role would be responsible for handling all types of vehicle...
-
Binder & Outsourced Claims Specialist
4 weeks ago
Johannesburg, South Africa Jobted ZA C2 Full timeMinimum requirements: - Matric (essential) - RE 5 - FETC in Short-Term Insurance - Higher Certificate in Short Term insurance - Class of Business Personal Lines & Commercial Lines - FAIS fit & Proper - Marine & Engineering knowledge is highly advantageous - 5-7 years relevant work experience in claims Motor & Non-Motor Commercial Y Personal Lines. Worked...
-
Binder & Outsourced Claims Specialist
1 month ago
Johannesburg, South Africa CFS Recruitment Full timeMinimum requirements:Matric (essential) RE 5 FETC in Short-Term Insurance Higher Certificate in Short Term insurance Class of Business Personal Lines & Commercial Lines FAIS fit & Proper Marine & Engineering knowledge is highly advantageous 5-7 years relevant work experience in claims Motor & Non-Motor Commercial Y Personal Lines. Worked for an insurer or...
-
Binder & Outsourced Claims Specialist
1 month ago
Johannesburg, South Africa CFS Recruitment Full timeMinimum requirements:Matric (essential)RE 5FETC in Short-Term InsuranceHigher Certificate in Short Term insuranceClass of Business Personal Lines & Commercial LinesFAIS fit & ProperMarine & Engineering knowledge is highly advantageous5-7 years relevant work experience in claims Motor & Non-Motor Commercial Y Personal Lines. Worked for an insurer or...
-
Senior Claims Examiner
4 days ago
Johannesburg, Gauteng, South Africa Manpower Group SA (Pty) Ltd Full timeClaims Specialist Job DescriptionThe Claims Specialist role is centered around validating and processing short-term insurance claims following a fortuitous event. Working closely with a designated portfolio of brokers, the Claims Specialist will make claims validation decisions on complex and high-value claims that exceed the broker's mandate (covering Motor...
-
Insurance Claims Validation Specialist
7 days ago
Johannesburg, Gauteng, South Africa CFS Recruitment (Pty) Ltd Full timeJob Title: Binder & Insurance Claims ExpertCFS Recruitment (Pty) Ltd is seeking a skilled professional to fill the role of Binder & Insurance Claims Expert. In this position, you will be responsible for processing and validating short-term insurance claims following a fortuitous event.Key Responsibilities:Validate and process short-term insurance claimsMake...
-
Business Head: Technical Underwriting and Governance
7 months ago
Johannesburg, South Africa Sanlam Full time**What will you do?** - This career opportunity is available within **Specialist Solutions**, a division of Santam for a **Business Head: Technical Underwriting and Governance**, who will be based in **Johannesburg: Illovo.** **What will make you successful in this role?** **Strategic Management** - Provide sustainable strategic input for your relevant...
-
Claims Specialist
1 month ago
Johannesburg, Gauteng, South Africa Energy at Work Projects Full timeJob Title: Claims HandlerJob Summary:We are seeking a highly skilled Claims Handler to join our team at Energy at Work Projects. As a Claims Handler, you will be responsible for handling claims efficiently, ensuring that customers receive excellent service, and maintaining accurate records.Key Responsibilities:Capture and process new claims in a timely and...
-
Claims Handler
4 months ago
Johannesburg, South Africa Six Sense Full timeGauteng, JHB - Northern Suburbs - Annually Cost To Company (Market related) A well-established independent brokerage is seeking to appoint a Claims Handler. **Qualifications**: - RE accreditation - Degree or Diploma preferable - FAIS compliance - 120 credits / NQF level 5 - Maintain Fit and Proper requirements - Complies with CPD...
-
Claims Specialist
7 days ago
Johannesburg, Gauteng, South Africa Rad Resources Full timeJob Title: Claims SpecialistAt Rad Resources, we're seeking a skilled Claims Specialist to join our team. As a key member of our claims administration team, you'll be responsible for managing claims portfolios and ensuring timely and efficient resolution of claims.Key Responsibilities:Administer claims portfolios, including motor and non-motor claimsManage...
-
Claims Team Leader
5 months ago
Johannesburg, South Africa CallForce Full timeCallForce is a prominent Business Process Outsourcing (BPO) known for delivering exceptional outsourced solutions to our clients.We are seeking a dedicated and experienced Claims Team Leader to lead our claims department effectively. As a Claims Team Leader, you will play a pivotal role in supervising a team of consultants, ensuring efficient and accurate...
-
Claims Department Supervisor
3 weeks ago
Johannesburg, Gauteng, South Africa CallForce Full timeClaims Team LeaderCallForce is a leading Business Process Outsourcing (BPO) company that delivers exceptional outsourced solutions to our clients. We are seeking a dedicated and experienced Claims Team Leader to lead our claims department effectively.Key Responsibilities:Supervise a team of consultants to ensure efficient and accurate claims...