Claims Consultant

Pivot Services; Rosebank; On-site; ZAR 180,000 - 280,000; Full time

Job summary

Pivot Services in Rosebank, Gauteng, seeks an experienced Short-Term Insurance Claims professional to coordinate, validate and settle personal lines and commercial claims end-to-end.

You will delegate authority, ensure compliant documentation, and make decisions within your financial mandate, liaising with customers, brokers and service providers to resolve claims efficiently.

This role requires strong negotiation and analytical skills in a fast-paced environment.

Qualifications

• Experience validating and settling short-term insurance claims.
• Accurate documentation of interactions, decisions and transactions.
• Ability to determine when an assessor or loss adjuster is required.
• Knowledge of policy terms and conditions.

Responsibilities

• Validate claims and communicate with stakeholders within target turnaround times.
• Accurately document all interactions, decisions and transactions.
• Investigate merits, appoint assessors or loss adjusters when required and manage conflicts.

Skills

Negotiation

Claims processing

Documentation

Decision making

Job description

Added: 27 October 2026 Listing date: Not supplied

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About the Role

Co-ordinate and oversee, manage negotiate and settle personal lines and commercial claims and account for the finalisation of the claim end-to-end. Delegate authority to manage the process and resolve any conflict by a negotiating, settlement, and finalisation functionality. Administer and validate claims correctly and efficiently within the specifications of PPS Short-Term Insurance Company's policy terms and conditions.

Key Responsibilities

• Validation of Insurance Claims - Validate claims in a friendly, courteous, and professional manner to all stakeholders within the prescribed turnaround times as documented and agreed in various service l... - Accurately document all interactions, decisions, and transactions related to the claims process.
• This includes maintaining detailed records of claim documents, correspond... - Investigate the merits of a specific claim and determine if the services of an assessor / loss adjustor would be required and appoint the most appropriate preferred asses... - Verify that all requirements are met (e.g. alarm systems, etc) in terms of the policy contract - Confirmation of conflicting statements with relevant parties - Make decision within financial mandate and within the set-out processes -

Qualifications and Experience

• + years experience in a Short-Term Insurance Claims environment