Claims Handler

Placements24; Gqeberha; Hybrid; ZAR 201,000 - 335,000; Full time

Benefits offered by this job

Competitive salary

Fully remote work arrangement

Comprehensive medical aid and benefits

Professional development and training

Supportive virtual team culture

Job summary

Placements24 is seeking a detail-oriented Claims Handler to join a fully remote insurance operations team. You will act as the primary contact for policyholders, processing claims accurately and timely from your home base in Port Elizabeth.

Responsibilities include registering and managing claims, investigating coverage, communicating decisions, gathering documentation, and ensuring accurate record-keeping. A strong remote-work ethic and proficiency with claims software are essential.

Qualifications

• 3+ years of experience in insurance claims handling or administration.
• Solid understanding of insurance policies and claims procedures.
• Excellent organizational skills and attention to detail.
• Strong written and verbal communication skills for remote interaction.

Responsibilities

• Receive, register, and manage insurance claims from policyholders.
• Investigate claims to determine coverage, liability, and validity based on policy terms.
• Communicate claim status, requirements, and decisions clearly and promptly to claimants.
• Gather necessary documentation, evidence, and reports to support claim assessments.
• Process payments for approved claims according to company procedures and settlement agreements.
• Maintain accurate and up-to-date records of all claims handled in the system.

Skills

Claims handling

Policy analysis

Remote communication

Documentation

Caseload management

Tools

Claims management software

Job description

About the Role

Our client is seeking a detail-oriented and efficient Claims Handler to join their fully remote insurance operations. This role is crucial for ensuring that customer claims are processed accurately, fairly, and in a timely manner. You will be the primary point of contact for policyholders during the claims process, providing clear communication and support. This position allows you to work from home, offering flexibility while requiring a high degree of professionalism and accuracy. You'll be part of a dedicated team committed to excellent customer service and upholding the integrity of the insurance process, contributing from your own space in Port Elizabeth .

Key Responsibilities

• Receive, register, and manage insurance claims from policyholders.
• Investigate claims to determine coverage, liability, and validity based on policy terms.
• Communicate claim status, requirements, and decisions clearly and promptly to claimants.
• Gather necessary documentation, evidence, and reports to support claim assessments.
• Process payments for approved claims according to company procedures and settlement agreements.
• Maintain accurate and up-to-date records of all claims handled in the system.

Requirements

• Minimum of 3 years of experience in insurance claims handling or administration.
• Solid understanding of insurance policies and claims procedures.
• Excellent organizational skills and attention to detail.
• Strong written and verbal communication skills for remote interaction.
• Proficiency in using claims management software and digital tools.
• Ability to manage a caseload effectively and meet deadlines in a remote environment.

Benefits

• Competitive salary.
• Fully remote work arrangement.
• Comprehensive medical aid and benefits package.
• Opportunities for professional development and training in claims management.
• A supportive virtual team culture focused on efficiency and customer satisfaction.