Claims Handler - Short-Term Insurance

Placements24; United States; Remote; USD 21,000 - 31,000; Full time

Benefits offered by this job

Competitive salary

Medical aid

Provident fund

Remote work

Job summary

Placements24 is seeking a dedicated Claims Handler for a remote role in the short-term insurance sector. You will manage the full lifecycle of claims, assess validity, investigate circumstances, and liaise with policyholders and third parties.

The ideal candidate has at least 3 years of claims experience, FAIS RE5 accreditation, strong communication skills, and proficiency with claims software and MS Office. This position offers remote work from home with flexible arrangements.

Qualifications

• Strong communication, negotiation and interpersonal skills are essential.
• Experience with claims management software and MS Office.
• FAIS RE5 accreditation and related credits are required.
• Minimum of 3 years handling short-term insurance claims (motor, household, commercial).

Responsibilities

• Receive, log, and manage short-term insurance claims from inception to settlement.
• Assess claim validity based on policy terms and documentation.
• Investigate circumstances, gather evidence, and interview relevant parties.
• Communicate with policyholders, witnesses, repairers, and legal representatives.
• Negotiate settlements within delegated authority limits.
• Appoint and manage service providers such as assessors and repairers.
• Ensure claims are processed accurately and in compliance with regulatory requirements.
• Maintain detailed records in the claims management system.
• Identify and report potential fraudulent claims.
• Contribute to process improvements in claims handling.

Skills

Communication

Negotiation

Interpersonal skills

Attention to detail

Remote work discipline

Education

Matriculation certificate

FAIS RE5 accreditation

Relevant credits

Tools

Claims management software

Microsoft Office Suite

Job description

About the Role Our client, a leading provider of short-term insurance solutions, is seeking a dedicated and proficient Claims Handler to join their progressive team. This role, operating with a remote work arrangement, involves managing the entire lifecycle of short-term insurance claims efficiently and empathetically. You will be responsible for assessing claims, investigating incidents, liaising with clients and third parties, and authorizing payments in line with policy terms. The successful candidate will demonstrate exceptional organizational skills and a keen eye for detail, contributing to a seamless claims experience for our policyholders. This is an excellent opportunity for experienced claims professionals in the Randburg area looking for a remote role.

Key Responsibilities

• Receive, log, and manage short-term insurance claims from inception to settlement.
• Assess claim validity based on policy terms, conditions, and supporting documentation.
• Investigate claim circumstances, gather evidence, and interview relevant parties.
• Communicate effectively with policyholders, witnesses, repairers, and legal representatives.
• Negotiate settlements within delegated authority limits.
• Appoint and manage service providers such as assessors and repairers.
• Ensure claims are processed accurately, efficiently, and in compliance with regulatory requirements.
• Maintain accurate and detailed records of all claims activities in the claims management system.
• Identify and report potential fraudulent claims.
• Contribute to the continuous improvement of claims handling processes.

Requirements

• Matriculation certificate or equivalent qualification.
• Minimum of 3 years of experience in handling short-term insurance claims (e.g., motor, household, commercial).
• Strong understanding of insurance principles and policy wordings.
• Excellent communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work independently and manage a caseload effectively in a remote environment.
• Detail-oriented with strong analytical and problem-solving skills.
• FAIS accreditation (RE 5) and relevant credits are essential.
• Experience in a remote working setup is advantageous.
• Based in or able to work from home within reasonable proximity to Randburg, Gauteng.

Benefits

Our client offers a competitive salary, comprehensive medical aid, and a provident fund. This remote position provides the flexibility to work from home, offering an excellent work-life balance. Employees receive ongoing training and opportunities for career advancement within the insurance sector. You will join a supportive and professional team, contributing to a company committed to excellent customer service from the comfort of your home.