Insurance Claims Handler - General Short-Term

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

Our client is seeking a dedicated and efficient Insurance Claims Handler to manage general short-term insurance claims in Queenstown, Eastern Cape . This role is pivotal in ensuring timely and fair resolution of claims, providing support and clear communication to policyholders throughout the process. You will be responsible for assessing claims, verifying policy coverage, negotiating settlements, and maintaining accurate records. The ideal candidate will have a strong understanding of general insurance principles and excellent administrative skills. This is a valuable opportunity to contribute to a reputable insurance provider and grow your career within the Eastern Cape region.

Key Responsibilities

• Receive, register, and process general short-term insurance claims.
• Verify policy details and coverage to determine claim validity.
• Investigate claims by gathering necessary documentation, evidence, and statements.
• Assess the extent of damages or losses and calculate appropriate settlement amounts.
• Negotiate claim settlements with policyholders and third parties in a fair and efficient manner.
• Maintain accurate and detailed records of all claim activities in the claims management system.
• Communicate effectively and empathetically with policyholders regarding claim status, requirements, and decisions.
• Identify and report potential fraudulent claims to the relevant department.
• Ensure compliance with all company policies, procedures, and regulatory requirements.
• Liaise with assessors, repairers, and other service providers as needed.

Requirements

• Minimum of 3 years of experience in 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.
• Excellent communication and interpersonal abilities.
• Proficiency in claims management software and Microsoft Office Suite.
• High level of accuracy and attention to detail.
• Ability to manage a caseload effectively and prioritize tasks.
• Relevant insurance qualifications (e.g., NQF level) are advantageous.
• A proactive approach to customer service.

Benefits

• Competitive annual salary with performance-based incentives.
• Hybrid work arrangement offering flexibility.
• Comprehensive medical aid and retirement fund benefits.
• Opportunities for professional development and further insurance qualifications.
• Supportive team environment and mentorship from experienced professionals.
• Contribution to a well-respected insurance company.
• Paid annual leave and sick leave.