Claims Consultant

Hollard Insurance; Pretoria; On-site; ZAR 300 000 - 400 000; Full time

Job summary

An established insurance company in Pretoria is looking for a Claims Consultant to manage branch claims and ensure compliance with company standards. The role requires strong technical expertise in claims evaluation, exceptional customer service skills, and timely communication with all stakeholders. This position plays a crucial role in enhancing the company's image and profitability.

Qualifications

• Proven technical expertise in evaluating and investigating claims.
• Strong customer service skills, adhering to service level agreements.
• Effective communication with stakeholders within 24 hours.

Responsibilities

• Evaluate and investigate all claims to prevent leakage.
• Maintain a high level of service to all customers.
• Provide support to brokers with claims-related inquiries.
• Communicate professionally with internal and external parties.
• Register all claims received within 24 hours.

Job description

Job Purpose

This Claims Consultant role will be responsible for managing Branch claims assigned, within the branch mandate, within the set standards required by the company thus contributing to the productivity of the claims department.

Maintaining the standards of the claims department thus enhancing the image of Hollard, as well as ensuring technical aspects for claims settlement are adhered to.

Contribute to the growth and profitability of Hollard and Ensure strong working relationship between all stakeholders.

Key Responsibilities

• Technical expertise : To evaluate and investigate all claims received in order to prevent possible leakage to the company in the settlement of claims.
• Customer service : Maintain a high level of service to customers (internal and external) according to service level agreements and within the service standards as set by the Company.
• Service to brokers : Over and above normal claims processing duties such as technical advice and other assistance.
• Effective and timeous communication : Communicate in a professional manner with internal and external parties and respond to queries within 24 hours.
• Registration : All claims received to be registered within 24 hours of receipt.