Claims Consultant

2 weeks ago

Durbanville, South Africa Job Crystal Full time

**ob Description**

We are looking for a dedicated Claims Consultant to join our dynamic team. In this role, you will manage insurance claims efficiently, ensuring timely payments to policyholders and compliance with insurer requirements. You'll assess the validity of claims, identify potential fraud, and coordinate necessary services after accidents or incidents.

**Key Responsibilities**:

- Advise on claims processes.
- Process new claim notifications and collect necessary documents.
- Analyse and guide policyholders through claims.
- Contact CLC/Origin Assist for assistance arrangements.
- Monitor claim registration.
- Build relationships with brokers, advisors, staff, and clients.
- Ensure fair customer treatment and escalate complaints.
- Refer complex claims to the Claims Manager.
- Discuss claim problems with Claims Managers.
- Manage binder claims per insurer mandates and follow up in the Diary system.
- Ensure all claim documents are accurate, complete, signed, and compliant with legal and industry guidelines.

**Requirements**:

- Minimum Qualifications/Certifications: Matric (Grade 12)
- Minimum Experience: 1-2 years experience
- Working Conditions: Hybrid model—work from the office once per week

**Qualifications & Skills**:

- Strong analytical and communication skills.
- Ability to handle complaints professionally.
- Knowledge of insurance policies and regulations.

Work Location: In person

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