Claims Consultant

RBS Insurance Brokers; Gqeberha; On-site; ZAR 200,000 - 300,000; Full time

Job summary

An established insurance firm located in Gqeberha, South Africa is looking for a Claims Administrator. The ideal candidate will be responsible for managing claims processes, ensuring effective client communication, and maintaining high levels of client satisfaction. A minimum of 3 years of relevant experience in claims is essential, along with a strong knowledge of compliance and quality standards. The company values continuous development and effective collaboration with internal teams.

Qualifications

• RE 5 qualification is mandatory.
• Computer literacy is essential.
• 3 years of claims experience in Personal Lines and Commercial is required.

Responsibilities

• Ensure minimisation of claims expenses.
• Maintain client communication and satisfaction.
• Administer claims process according to company standards.

Skills

Claims administration

Communication skills

Relationship building

Education

Matric or equivalent

FAIS appropriate qualification/credits

Tools

CIMS

Job description

Responsibilities

Financial

• Ensure appropriate minimisation of claims and claims expenses
• Ensure and contribute to minimisation of general expenses

Client

• Ensure that all stakeholder (e.g. clients, AE’s, insurers) communication is accurate, timeous, professional and relevant
• Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders
• Keep client informed regarding to progression of the claim
• Ensure and contribute to achieving the required client satisfaction targets

Business Processes

• Adhere to company quality standards and broader regulatory frameworks with regards to the following processes (but not limited to):
• Claims Administration
• Receive claims notification, and send and obtain any relevant forms or documents as may be required
• Administer complete claims process according to defined claims procedures until claims are settled
• Appoint assessor or loss adjustor
• Apply policy terms and conditions
• Keep internal system and records up to date at all times
• Keep relevant internal stakeholders up to date on the progress of registered claims
• Make assessment of claims validity and estimate value and administer mandated claims
• Forward claims in excess of mandate to insurer
• Obtain quotes for services
• Arrange approval and payment for claims costs in line with claims and cover
• Act as intermediary between insurer and client and timeously relay communication, requests and documentation
• Follow the recoveries process, diarise follow-ups and keep clients informed
• Ensure productivity targets are met
• Contribute towards and ensure continuous improvement in own and team performance
• Adhere to company mandates
• Participate and contribute in ad hoc projects
• Report any suspected fraud, misrepresentation and/or dishonesty
• Keep accurate record of own activities

Learning And Growth

• Live the RBS values by committing to the organisational values
• Ensure continuous self-development
• Share information and knowledge with the team

Job Requirements

Minimum Qualifications And Skills

• Matric or equivalent
• RE 5
• FAIS appropriate qualification/credits
• Computer literate
• CIMS - advantageous
• Excellent communication skills (verbal & written)

Minimum Experience

• 3years claims experience (Personal Lines and Commercial)