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A leading financial services provider in Durban seeks an individual experienced in managing and processing insurance claims. The role involves guiding brokers and policyholders, ensuring compliance with regulations, and supporting continuous improvement practices. Ideal candidates will have a Grade 12 qualification plus FAIS and RE5 certifications, along with 1-3 years' experience in the financial services industry.
Join TIH, home to some of South Africa’s leading financial service providers, and grow your career while being part of an organisation with purpose.
Manage and process claims by working together as a team to guide the broker / policyholder along the claims process, investigate the claim for legitimacy and the extent of the damage, and eventually approve or deny a claim based on the insured's claim filing paperwork, their coverage, and other factors.
Carry out a range of information gathering and data processing activities to support the administration of insurance claims, including an initial review of claims documentation to identify further information needed and/or to allocate cases to the appropriate claims specialists/investigators.
Create, organize and maintain files containing the correspondence and records. Obtain all required information and documents to proceed with the claim.
Produce, update and provide best practice support on a wide range of MS documents, databases and other departmental systems to support the work of more senior colleagues.
Carry out standard intermediary / customer service activities and handle simple customer enquiries.
Support stakeholder engagement by arranging actions, meetings, and events.
Work within standard compliance systems and report simple non-compliance issues. Comply with service level agreements and quality standards.
Maintain and build relevant knowledge and ensure effective updating of own product and system knowledge. Develop and maintain excellent process or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching.
Contribute to optimising work practices and procedures and generate new ideas to assist in identifying continuous improvements and growth for broker's.
Support others by working on a variety of data management tasks.
Assure all work meets technical / operations standards for quality and timeliness; use performance management systems to improve personal performance.
Create positive experiences for clients by interacting courteously with them.
Grade 12/ SAQA Accredited Equivalent (Essential); FAIS and RE5 qualification (Essential); Class of Business – product knowledge (Essential)
1 – 3 years Financial Services industry experience (Essential); Short-term insurance product knowledge / intermediary experience (Advantageous); ROC experience (Advantageous).
Think you have what it takes to be part of an unstoppable team who constantly finds better ways to give peace of mind? Don't wait, apply now.