Senior Claims Handler - Short-Term Insurance

Placements24; Lorenziberg; Sur place; EUR 19 000 - 28 000; Plein temps

Avantages offerts par ce poste

Medical aid

Retirement fund contributions

Performance-based bonuses

Professional development opportunities

Employee assistance program

Leave benefits

Résumé du poste

Placements24 is seeking a Senior Claims Handler to join our client in Queenstown, Eastern Cape. You will manage short-term insurance claims, investigate circumstances, and negotiate settlements with policyholders and third parties. The role requires meticulous documentation and adherence to regulatory standards.

The ideal candidate has at least 4 years in short-term claims, strong policy knowledge, and excellent communication skills to deliver empathetic customer service and accurate processing.

Qualifications

• Minimum 4 years of experience in short-term insurance claims.
• Relevant qualification in Insurance, Business Administration, or related field.
• RE1 certification is advantageous.

Responsabilités

• Manage a caseload of short-term claims from initiation to settlement.
• Investigate claims thoroughly and gather documentation.
• Assess claim validity based on policy terms and applicable law.
• Communicate with policyholders, claimants, and third parties.
• Negotiate fair settlements and process payments.
• Maintain accurate records and ensure regulatory compliance.
• Identify potential fraudulent claims and escalate as needed.
• Provide excellent customer service during the process.

Connaissances

Claims handling

Negotiation

Customer service

Documentation

Communication

Formation

Insurance qualification

RE1 certification

Outils

Claims management software

MS Office

Description du poste

About the Role

Our client, a reputable insurance company, is looking for a diligent and experienced Senior Claims Handler to join their team in Queenstown, Eastern Cape . This role is vital for managing the claims process efficiently and effectively, ensuring fair and timely resolution for policyholders. The ideal candidate will have extensive experience in handling short-term insurance claims, a strong understanding of policy wordings, and excellent customer service skills. You will be responsible for assessing claim validity, investigating circumstances, negotiating settlements, and processing payments, all while adhering to company guidelines and regulatory standards. This is a great opportunity to advance your career in claims management within a supportive environment in Queenstown . We are seeking a proactive individual who can handle complex claims with professionalism and empathy, contributing to customer satisfaction and the company's reputation. The role requires strong administrative skills and a keen eye for detail to ensure accurate processing and documentation.

Key Responsibilities

• Manage a caseload of short-term insurance claims from initiation to settlement.
• Investigate claims thoroughly, gathering all necessary documentation, reports, and evidence.
• Assess claim validity based on policy terms and conditions, and applicable legislation.
• Communicate effectively with policyholders, claimants, and third parties throughout the claims process.
• Negotiate fair settlements with claimants and service providers.
• Process claim payments accurately and in a timely manner.
• Identify potential fraudulent claims and escape them for further investigation.
• Maintain accurate and detailed records of all claim activities in the system.
• Ensure compliance with company policies, procedures, and regulatory requirements.
• Provide excellent customer service and support to policyholders during the claims process.

Requirements

• A relevant qualification in Insurance, Business Administration, or a related field; relevant certifications (e.g., RE1) are advantageous.
• Minimum of 4 years of experience in handling short-term insurance claims.
• Comprehensive knowledge of various types of short-term insurance policies (e.g., motor, household, commercial).
• Strong understanding of claims investigation, assessment, and settlement procedures.
• Excellent communication, negotiation, and problem-solving skills.
• Proficiency in claims management software and MS Office Suite.
• Ability to work independently and as part of a team.
• Attention to detail and strong organizational skills.
• Customer-centric approach and ability to handle sensitive situations with empathy.

Benefits

• Competitive salary based on experience and qualifications.
• Performance-based incentives and bonuses.
• Medical aid and retirement fund contributions.
• Opportunities for professional development and further training.
• A stable and supportive work environment in Queenstown .
• Employee assistance programs.
• Leave benefits.