Short-Term Claims Consultant

1 week ago

Pretoria, Gauteng, South Africa Talentevolution Full time
Role Purpose
The Short-Term Claims Consultant is responsible for the efficient and accurate processing of short-term insurance claims while delivering a high standard of client service. The role involves managing claims end-to-end, ensuring compliance with regulatory and company requirements, and maintaining client trust through professional and empathetic engagement.

Key Responsibilities
Claims Processing
- Manage the end-to-end claims process, including registration, assessment, validation, and settlement.
- Ensure claims are processed within agreed service level agreements (SLAs) and in line with regulatory requirements.
- Accurately capture and update claims information on the claims management system.
Client Service
- Communicate with clients to obtain required information, explain claims procedures, and provide regular updates.
- Address client queries and concerns professionally and empathetically to ensure a positive client experience.
- Escalate complex or disputed claims to the relevant Team Leader when required.
Investigation & Assessment
- Assess claim validity through document review, investigation, and liaison with service providers.
- Identify potential fraudulent claims and report suspicious activity in accordance with internal procedures.
- Ensure accurate assessment of damages and costs in collaboration with assessors and other specialists.
Collaboration & Stakeholder Engagement
- Liaise with service providers such as assessors, repairers, and other third parties to facilitate claims resolution.
- Work closely with team members and management to resolve challenges and improve claims processes.
Compliance & Reporting
- Ensure all claims handling adheres to company policies, industry regulations, and Treating Customers Fairly (TCF) principles.
- Prepare and submit claims-related reports as required.

 

Role Requirements
Qualifications
- Matric Certificate.
- RE5 qualification.
Experience
- Minimum of 2 years' experience in short-term insurance (building and contents) claims processing or a related role.
- Experience within the insurance or financial services industry is essential.
Skills & Competencies
- Strong knowledge of non-motor short-term insurance products and claims processes.
- Excellent communication and interpersonal skills.
- Proficiency in Microsoft Office and claims management systems.
- High attention to detail and accuracy.
- Strong problem-solving and decision-making abilities.
- Ability to work under pressure and manage multiple priorities effectively.
- Professionalism, integrity, and strong customer focus.
Should you not receive a response within 10 working days, please consider your application unsuccessful.

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