Hybrid Senior Insurance Claims Specialist

Placements24; Queenstown; Hybrid; NZD 39,000 - 59,000; Full time

Benefits offered by this job

Hybrid work arrangement

Competitive salary with incentives

Medical aid and retirement fund

Job summary

Placements24 is seeking a dedicated Insurance Claims Handler to manage general short-term insurance claims in a hybrid work environment in Queenstown. The role focuses on timely, fair resolutions, policy verification, settlements, and clear communication with policyholders.

The candidate should have at least 3 years of experience, a solid understanding of SA insurance frameworks, strong analytical skills, and proficiency with claims software and Microsoft Office.

Qualifications

• Requires minimum 3 years of experience handling general short-term insurance claims.
• Solid understanding of insurance policies, claims procedures and regulatory frameworks in South Africa.
• Strong analytical, problem-solving and decision-making skills are essential.
• Excellent communication and interpersonal abilities are required.
• Proficiency in claims management software and Microsoft Office Suite is expected.

Responsibilities

• Receive, register and process general short-term insurance claims.
• Verify policy details and coverage to determine claim validity.
• Investigate claims by gathering documentation, evidence and statements.
• Assess damages and calculate settlement amounts.
• Negotiate settlements with policyholders and third parties.
• Maintain accurate records in the claims management system.
• Communicate status and requirements clearly to policyholders.
• Identify and report potential fraudulent claims.
• Ensure compliance with company policies and regulatory requirements.
• Liaise with assessors, repairers and service providers as needed.

Skills

Analytical skills

Problem-solving

Decision-making

Communication

Interpersonal abilities

Claims software

Microsoft Office

Education

NQF level insurance qualification

Tools

Claims management software

Microsoft Office

Job description

Placements24 is seeking a dedicated Insurance Claims Handler to manage general short-term insurance claims in a hybrid work environment in Queenstown. The role focuses on timely, fair resolutions, policy verification, settlements, and clear communication with policyholders.

The candidate should have at least 3 years of experience, a solid understanding of SA insurance frameworks, strong analytical skills, and proficiency with claims software and Microsoft Office.