Claims Consultant

1 week ago

Sandton, South Africa Guardrisk Full time

**Introduction**
- Guardrisk is the undisputed market leader in cell captive insurance and risk solutions. We are renowned for our innovative approach to cell captive structures and other alternative risk transfer solutions for our clients. Guardrisk offers clients custom designed cover and is registered in South Africa as an insurer for all statutory classes of non-life and life insurance business.

**Disclaimer**
- As an applicant, please verify the legitimacy of this job advert on our company career page.

**Role Purpose**
- The FNOL Claims Consultant is responsible for registering new claims received from brokers and appointed service providers within the SLA. This role requires excellent customer service skills, attention to detail, and the ability to work in a fast-paced environment.

**Requirements**:
**Qualifications**

Diploma or equivalent (required)

NQF Level 4 qualification in insurance

**Experience**

1-2 years of experience in customer service, insurance, or claims handling (preferred)

**Duties & Responsibilities**

**Claims Intake**:
Receive new claims from the designated mailbox, claim to be registered within the SLA.

Appointment of Service Providers is all the information is available at registrations stage.

Verify essential information, such as policy details, date and time of the incident, Incident Address, description of the loss, and contact information.

**Data Entry and Documentation**:
Accurately enter claim details into the Ski system.

Ensure all information is complete and consistent for further processing.

**Initial Assessment**:
Appoint the relevant Service Provider on claims if all the information is available and cover is confirmed.

Identify potential red flags, such as fraudulent claims or coverage issues.

**Coordination**:
Route claims to the appropriate claims technicians or departments based on the type and severity of the loss.

Collaborate with other teams, such as underwriting as needed.

**Compliance**:
Ensure all claims are handled in compliance with company policies, regulatory requirements, and industry standards.

**Follow-Up**:
Follow up with claimants to obtain missing information or documentation.

**Key Performance Indicators (KPIs)**:
Accuracy of data entry and documentation.

Number of claims Registered per day/week.

Compliance with regulatory and company standards.

**Competencies**

**Communication Skills**:
Excellent verbal and written communication skills to interact with claimants and internal teams effectively.

**Customer Service**:
Strong customer service orientation with the ability to handle stressful situations empathetically.

**Attention to Detail**:
High level of accuracy in data entry and documentation.

**Problem-Solving**:
Ability to quickly assess situations and make decisions.

**Time Management**:
Ability to prioritize tasks and manage time effectively in a fast-paced environment.

**Technical Skills**:
Proficiency in using claims systems, Microsoft Office, and other relevant tools.

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