Claims Handler

Placements24; Paarl; On-site; ZAR 250,000 - 380,000; Full time

Job summary

Placements24 is seeking a meticulous Claims Handler in Paarl to manage incoming insurance claims. You will guide policyholders through the claims process, gather necessary information, and make informed decisions regarding claim validity and payment.

The role requires excellent communication, a keen eye for detail, and a commitment to high-quality service within the insurance sector, contributing to smooth claims operations and client satisfaction.

Qualifications

• Previous experience in a claims handling or customer service role.

Responsibilities

• Receive, review, and process insurance claims accurately and efficiently.
• Contact policyholders and other parties to gather information, clarify details, and explain the claims process.
• Assess claim validity based on policy terms and conditions, investigating any discrepancies.
• Determine the extent of liability and authorize payments within defined limits.
• Maintain clear and organized records of all claim-related communications and documentation.
• Respond to claimant inquiries and provide updates on claim status in a timely and professional manner.
• Identify potential fraudulent claims and escalate them for further investigation.

Skills

Communication skills

Attention to detail

Interpersonal skills

Claims management software

Working under pressure

Tools

Claims management software

Job description

About the Role

Our client is seeking a meticulous and customer-oriented Claims Handler to manage incoming insurance claims in Paarl . This role is fundamental to ensuring prompt and fair settlement of claims, maintaining client satisfaction, and adhering to company policies. You will be the primary point of contact for policyholders, guiding them through the claims process, gathering necessary information, and making informed decisions regarding claim validity and payment. The ideal candidate possesses excellent communication skills, a keen eye for detail, and a commitment to providing exceptional service within the insurance domain, contributing to the smooth operation of the claims department.

Key Responsibilities

• Receive, review, and process insurance claims accurately and efficiently.
• Contact policyholders and other parties to gather information, clarify details, and explain the claims process.
• Assess claim validity based on policy terms and conditions, investigating any discrepancies.
• Determine the extent of liability and authorize payments within defined limits.
• Maintain clear and organized records of all claim-related communications and documentation.
• Respond to claimant inquiries and provide updates on claim status in a timely and professional manner.
• Identify potential fraudulent claims and escape them for further investigation.

Requirements

• Previous experience in a claims handling or customer service role, preferably within the insurance industry .
• Strong understanding of insurance policies and claims procedures.
• Excellent communication, listening, and interpersonal skills.
• High level of accuracy and attention to detail.
• Proficiency in using claims management software and standard office tools.
• Ability to work effectively under pressure and manage a caseload efficiently.

Benefits

• Competitive annual salary and potential for performance-based bonuses.
• Comprehensive medical aid and retirement fund benefits.
• Ongoing training to enhance claims handling expertise.
• A supportive team environment within a reputable insurance company.
• Opportunities for career progression within the claims department.