Senior Claims Handler - Short-Term Insurance

Placements24; Queenstown; On-site; NZD 46,000 - 59,000; Full time

Benefits offered by this job

Competitive salary

Performance bonuses

Medical aid

Retirement fund

Professional development

Supportive environment

Employee assistance

Leave benefits

Job summary

Placements24 is seeking a Senior Claims Handler for their Queenstown branch. You will manage a caseload of short-term insurance claims, investigate, assess validity, and negotiate settlements with policyholders and service providers.

The role requires a qualification in Insurance or Business Administration (RE1 advantageous) and at least four years of claims experience. You will ensure accurate processing, documentation, and regulatory compliance while delivering excellent customer service.

Qualifications

• 4+ years of experience in short-term insurance claims.
• Qualification in Insurance or Business Administration; RE1 advantageous.
• Knowledge of policy wordings and claims processes.
• Excellent communication, negotiation, and problem-solving skills.
• Proficient in claims management software and MS Office.
• Ability to work independently and in a team; detail oriented.

Responsibilities

• Manage a caseload of short-term insurance claims from initiation to settlement.
• Investigate claims and gather documentation and evidence.
• Assess claim validity based on policy terms and legislation.
• Communicate with policyholders, claimants, and third parties.
• Negotiate fair settlements with claimants and service providers.
• Process claim payments accurately and timely.
• Maintain detailed records in the claims system.
• Ensure compliance with policies and regulatory requirements.
• Provide excellent customer service during the claims process.

Skills

Communication skills

Negotiation

Problem-solving

Attention to detail

Customer service

Education

Insurance/Business Administration qualification

RE1 (advantage)

Tools

Claims management software

MS Office

Job description

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 elevate 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.