Claims Analyst

Green Marble Recruitment Consultants; Gauteng; On-site; ZAR 200 000 - 300 000; Full time

Job summary

An established industry player is seeking a meticulous Claims Analyst to manage commercial claims efficiently. This role involves overseeing the entire claims process, from registration to finalization, while ensuring compliance with service level agreements. The successful candidate will liaise with clients, brokers, and internal stakeholders, proactively identifying recovery opportunities and managing expectations. If you have a passion for claims management and a keen eye for detail, this position offers a fantastic opportunity to contribute to a dynamic team in a supportive environment.

Qualifications

• 3+ years of experience managing the full life cycle of claims.
• Strong administrative skills for accurate claims processing.

Responsibilities

• Handle claims from cradle to grave, ensuring compliance with SLAs.
• Communicate effectively with clients and brokers to manage expectations.

Skills

Claims Management

Client Interaction

Fraud Detection

Legal Liability Understanding

Education

Matric

RE5 Regulatory Examination

Job description

Reference :

JHB-DDT -1

Are you a meticulous individual with a knack for managing commercial claims efficiently?

Our globally recognised client in Randpark Ridge is looking for a skilled Claims Analyst to spearhead interactions with clients, brokers, and insurers, ensuring seamless processing and resolution of claims.

Please apply if you have at least 3 years' experience with the full life cycle of claims.

Duties & Responsibilities

1. Handle claims as per delegated claims portfolio from cradle to grave.
2. Daily Administration – Register new claims, ensure cover is in place, and the correct excess is applied.
3. Ensure all documents are accurately saved to the correct claim or policy file, and update statuses throughout the claim's lifecycle.
4. Add and update estimates throughout the claim lifecycle, referring to the "maximum probable loss" theory.
5. Liaise with the claims manager to establish your claims allocation and prioritize claims.
6. Manage the outstanding claims list to expedite finalization and improve broker satisfaction.
7. Handle broker queries via telephone and email to limit complaints.
8. Communicate effectively with internal stakeholders within SLA or treaty requirements.
9. Ensure claims are finalized within the agreed SLA period.
10. Assess claims by reviewing reports, assessments, digital images, or received documents.
11. Proactively identify fraudulent cases and recovery opportunities, acting accordingly.
12. Identify salvage potential proactively and act upon it.
13. Understand legal liability considerations in claims.
14. Decide on settlement recommendations or refer to the Claims Manager.
15. Liaise with internal departments such as Underwriting, Assessing, and Legal for policy interpretation.
16. Manage broker expectations and ensure timely, accurate communication.
17. Report all claims to the holding company and ensure compliance with treaty specifications.
18. Ensure payments are correctly raised to the beneficiaries.
19. Ensure new beneficiaries complete and return the Beneficiary Form; save completed forms and BEE Certificates appropriately.
20. Self-manage and complete allocated emails and diaries daily.
21. Save all correspondence related to claims promptly and accurately.
22. Send daily statistics to the line manager.

Minimum Requirements

• Completed Matric
• Completed RE5 Regulatory Examination
• At least 3 years' experience in claims
• Own transport and valid driver's license
• Clear criminal and credit checks
• Reliable individual with sober habits

Package & Remuneration

R 25,000 - R 30,000 Monthly