Claims Consultant – Port Elizabeth

Accountancy Placements Pietermaritzburg; Gqeberha; On-site; ZAR 280,000 - 420,000; Full time

Job summary

Accountancy Placements Pietermaritzburg is seeking a qualified professional to manage short-term insurance claims from inception to settlement. You will investigate, register, and process claims, liaising with insurers and clients to ensure timely resolution in a high-volume environment.

The role requires an NQF 4 Short-Term Insurance qualification, RE5 and FAIS compliance, and strong analytical, problem-solving, and communication skills.

Qualifications

• NQF 4 Short-Term Insurance qualification is required.
• RE5 qualification and FAIS compliance are required.
• Strong computer skills and regulatory knowledge are essential.
• Excellent analytical, problem-solving, and communication skills are essential.

Responsibilities

• Register, investigate, and manage claims from inception to settlement.
• Refer claims exceeding settlement authority to insurers within required timeframes.
• Process claims in line with company procedures and insurer requirements.
• Maintain accurate claims diaries and comprehensive file notes on Flexi/Nimbis.
• Upload all claim correspondence and documentation within required timeframes.
• Monitor claims reports and ensure outstanding balances are accurately managed.
• Verify claim payments for accuracy before processing.
• Liaise with clients, insurers, assessors, attorneys, and service providers to facilitate claim resolution.
• Ensure claims are accurately updated, settled, and closed.
• Maintain service standards, turnaround times, internal controls, and regulatory compliance.

Skills

Analytical skills

Problem solving

Communication skills

Computer skills

Attention to detail

Education

NQF 4 Short-Term Insurance

RE5 qualification

FAIS compliance

Job description

Responsibilities

• Register, investigate, and manage claims from inception to settlement
• Refer claims exceeding settlement authority to insurers within required timeframes
• Process claims in line with company procedures and insurer requirements
• Maintain accurate claims diaries and comprehensive file notes on Flexi/Nimbis
• Upload all claim correspondence and documentation within required timeframes
• Monitor claims reports and ensure outstanding balances are accurately managed
• Verify claim payments for accuracy before processing
• Liaise with clients, insurers, assessors, attorneys, and service providers to facilitate claim resolution
• Ensure claims are accurately updated, settled, and closed
• Maintain service standards, turnaround times, internal controls, and regulatory compliance

Requirements

• NQF 4 Short-Term Insurance qualification
• 35 years experience in a short-term claims environment
• RE5 qualification and FAIS compliance
• Sound knowledge of insurance claims processes and regulations
• Strong computer skills
• Excellent analytical, problem-solving, and communication skills
• Exceptional attention to detail

Due to the high volume of applications received, only suitable candidates who meet the criteria of this vacancy will be contacted.