Claims Service Consultant

Found in: Talent ZA C2 - 2 weeks ago


Cape Town, South Africa Sanlam Full time

Who are we?

Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is centred on our delivery of Insurance Good and Proper. 

What will you do?

 
This career opportunity is available at Echelon a division of Santam for a Claims Service Consultan t, who will be based in Sunclare Building, 21 Dreyer Street, Claremont, Cape Town. 

Main functions:  
Register claims and make decisions regarding merit 
Manage claims in terms of SLA’s 
Appoint assessors if necessary
Negotiate settlements 
Daily estimate updates as well as note attachment to system
Timeous and efficient management of inbox
Liaise with brokers 
Prompt feedback and handling of complaints (internal & external)
Assisting with the loading of payments and bordereaux’s. 

What will make you successful in this role?


Be able to work well under pressure with minimal supervision.
Have the ability to work well in a team. Be able to actively encourage open and frank communication.
Be logically minded and have the ability to make informed decisions.
Subscribe to the purpose, vision, and values of the company.

Personal Attributes

Business insight - Contributing independentlyManages complexity - Contributing independentlyPlans and aligns - Contributing independentlyManages conflict - Contributing independently

Core Competencies

Cultivates innovation - Contributing independentlyCustomer focus - Contributing independentlyDrives results - Contributing independentlyCollaborates - Contributing independentlyBeing resilient - Contributing independently

  • Cape Town, South Africa Intelligent Debt Management Full time

    **Legal claims consultant - Cape Town CBD** Good communication skills are very important for this role, and the ability to make legal matters understandable - both in writing and verbally - to IDM Protect’s legal expenses insurance customers is vital. Working in the short-term personal lines legal expenses insurance team will require customer focus,...


  • Cape Town, South Africa Job Crystal Full time

    **SPECIFICATION** A global InsureTech business is looking for a Claims and Customer Care to join their AU and NZ Team, but the position will be SA based (Working hours are 00h30 to 09h30) The business provides an end-to-end service where they facilitate the whole process from contacting the client to gathering information/evidence, reviewing and validating...


  • Cape Town, South Africa Black Pen Recruitment Full time

    **Black Pen Recruitment** Phone: +27 (0) 21 418 2897 **Cape Town office** Cape Quarter Lifestyle Village, Neighbourgood Workspace, 23-27 Somerset Road, De Waterkant, Cape Town, 8005 **German Speaking Customer Service and Claims Handler (Insurance/Medical)** Our Client is one of the world’s leading medical assistance and claims handling companies,...

  • Claims Assessor

    2 weeks ago


    Cape Town, South Africa JenRecruitment Full time

    A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. (Claremont Cape Town) **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal...

  • Claims Assessor

    3 days ago


    Cape Town, South Africa JenRecruitment Full time

    A vacancy exists for a Claims Assessor in our Gap Claims Assessing Department. **Job description & duties**: - To check and validate all GAP claim documents received and to request any outstanding documents - To follow the claims process and capture the claim information onto the system - To verify and update any client personal information changes on the...

  • Claims Administrator

    18 hours ago


    Cape Town, South Africa PSG Insure Full time

    **Job description**: The Claims Administrator is responsible for coordinating and overseeing, managing, negotiating settlement of the claim and is accountable for the finalisation of the claim end-to-end. **Responsibilities**: - Register claims and appoint assessors - Manage claims in terms of claims SLA - Make decision regarding merit - indemnify or not -...

  • Claims Assistant

    3 days ago


    Cape Town, South Africa Medway Marketing (Pty) Ltd Full time

    **Main responsibilities, but not limited to**: Assuming total responsibility for the auditing of Medway claims processed by the claims underwriters in terms of the current service level agreement and in accordance with our product benefits and rules, resolution of claims enquiries and communication with relevant parties providing accurate and prompt...


  • Cape Town, South Africa Black Pen Recruitment Full time

    **German Speaking Customer Service and Claims Handler (Insurance/Medical)** Our Client is one of the world’s leading medical assistance and claims handling companies, annually processing cases around the globe. They have a unique gateway to a comprehensive worldwide provider network, local know-how, assistance and cost containment for travel insurance,...

  • Call Centre Consultants – Parklands North

    Found in: Talent ZA 2A C2 - 2 weeks ago


    Cape Town, South Africa Service Solutions Full time

    Call Centre Consultants Parklands NorthOur client, South Africas largest importer, manufacturer and supplier of mobility goods and aids for the elderly and our head office is located in the Rivergate Business Park in Parklands North. They advertise and sponsor programs extensively on DSTV to generate enquiries for their products. Their call centre...


  • Cape Town, South Africa Medpharm Recruitment Full time

    A reputable Medical Aid is seeking an experienced Consultant to join their Service Providers, Contracting and Research Department. **Job Purpose**: To provide optimal support to the Healthcare Providers on the network, expand the network and to promote the Scheme. **Duties**: - Proactive Management for short paid and overcharged claims. - Increase...

  • Gap Claims assessor

    Found in: Adzuna ZA B C2 - 2 weeks ago


    Cape Town, South Africa Adzuna ZA B C2 Full time

    Requirements: Applicants must have a thorough understanding of medical aid operations or insurance policy administration and operations.Matric.Responsibilities: To check and validate all GAP claim documents received and to request any outstanding documents. To follow the claims process and capture the claim information into the system. To verify and update...

  • German Claims Handler

    18 hours ago


    Cape Town, South Africa Merand Corbett & Associates Full time

    ? Key Responsibilities: - Communication and processing arrangements for medical insurance claims - Efficient claims handling, including data entry and invoice assessment - Friendly and outstanding customer service - Thrive in a multi-lingual and multi-cultural environment ? Requirements: - Fluent in German and English - Minimum Matric qualification,...

  • Manager: Claims

    3 days ago


    Cape Town, South Africa Momentum Metropolitan Holdings Full time

    -Introduction Role Purpose To oversee and take accountability for key Claims functions and as a result ensure that MHC continues to efficiently and effectively provide leading administrative services to the Scheme and its members. Further to this, ensure standardisation, consistency and optimisation of processes across claims administration. Requirements -...

  • GAP Claims Assessor

    Found in: Talent ZA C2 - 2 weeks ago


    Cape Town, South Africa Status Staffing Full time

    Our Client in Claremont is looking to employ a GAP Claims Assessor with Medical Aid claims processing and administration / insurance industry experience to join their teamA recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE   :           PermanentSECTOR                         :          ...

  • GAP Claims Assessor

    Found in: Talent ZA 2A C2 - 2 weeks ago


    Cape Town, South Africa Status Staffing Full time

    A recent professional profile photo is to accompany your applicationEMPLOYMENT TYPE : PermanentSECTOR : FinanceBASIC SALARY : R16,000START DATE : A.S.A.P / ImmediateREQUIREMENTS:2 years experience in a similar roleInsurance industry experience (essential)Medical Aid...

  • Junior Accountant/ Bookkeeper

    Found in: beBee jobs ZA - 1 week ago


    Cape Town, Western Cape, South Africa Marvel Placement Consultant Full time

    Marvel Placement Consultant's job vacancy, Career and RecruitmentJob title : Junior Accountant/ Bookkeeper jobs in Western CapeJob Location : Western Cape, Cape TownDeadline : May 04, 2024Quick Recommended LinksJobs by LocationJob by industries Junior Accountant/BookkeeperWe are recruiting for a Junior Accountant in Maitland to join a well-established...

  • Junior Accountant/ Bookkeeper

    Found in: beBee S ZA - 4 weeks ago


    Western Cape, Cape Town, South Africa Marvel Placement Consultant Full time

    Marvel Placement Consultant’s job vacancy, Career and Recruitment Job title : Junior Accountant/ Bookkeeper jobs in Western Cape Job Location : Western Cape, Cape Town Deadline : May 04, 2024 Quick Recommended Links Jobs by Location Job by industries Junior Accountant/Bookkeeper We are recruiting for a Junior Accountant in Maitland to join a...

  • Junior Accountant/ Bookkeeper

    Found in: beBee S ZA - 3 weeks ago


    Western Cape, Cape Town, South Africa Marvel Placement Consultant Full time

    Marvel Placement Consultant’s job vacancy, Career and Recruitment Job title : Junior Accountant/ Bookkeeper jobs in Western Cape Job Location : Western Cape, Cape Town Deadline : May 04, 2024 Quick Recommended Links Jobs by Location Job by industries Junior Accountant/Bookkeeper We are recruiting for a Junior Accountant in Maitland to join a...

  • Service Consultant

    18 hours ago


    Cape Town, South Africa Momentum Insure Company Limited Full time

    **Introduction** **Role Purpose** Management and servicing of direct personal lines insurance 55 plus and priceless client portfolios whilst ensuring a balance between the company's business priorities including growth and client retention whilst adhering to the insurance needs of clients, in conjunction with Financial Services...


  • Cape Town, South Africa Jev Job Solution (Pty) Ltd Full time

    **We are currently looking for German speakers to fulfill the position of Claims Handler Start date: 1 May 2024** The Company is the African Medical Assistance branch, part of a global company providing support for various International European insurance companies and their travelers. Our current staff members in Cape Town are handling insurance and...