Claims Handler - Personal Lines Insurance

Placements24; Mossel Bay; Hybrid; ZAR 180,000 - 300,000; Full time

Benefits offered by this job

Medical aid

Provident fund

Hybrid work model

Professional development

Job summary

Placements24 is helping a well-established insurer in Mossel Bay recruit a diligent Claims Handler to manage personal lines claims from notification through final settlement, assess liability, gather documentation, and coordinate with repairers, assessors, and service providers.

You will maintain accurate records in the claims management system, communicate clearly with policyholders, ensure compliance with regulations, and contribute to process improvement, with a hybrid work arrangement and

Qualifications

• Proven experience as a Claims Handler, preferably within personal lines insurance.
• Strong understanding of personal insurance products and claims processes.
• Excellent communication, interpersonal, and customer service skills.
• Proficiency in using claims management software and standard office applications.
• Strong analytical and problem-solving abilities, with keen attention to detail.

Responsibilities

• Receive, register, and manage personal lines insurance claims from initial notification to final settlement.
• Communicate effectively and empathetically with policyholders, providing clear guidance and updates throughout the claims process.
• Investigate claim circumstances, gather necessary documentation, and assess liability.
• Evaluate the extent of damages and coordinate with approved service providers where necessary.
• Authorize claim payments in line with policy terms and conditions, within delegated authority limits.
• Ensure compliance with all relevant insurance regulations and company procedures.
• Maintain accurate and up-to-date records of all claims activities within the claims management system.
• Identify and elevate potentially fraudulent claims or complex cases for further review.
• Contribute to continuous improvement of claims handling processes.

Skills

Claims handling

Communication skills

Analytical skills

Problem-solving

Customer service

Time management

Education

RE 5 qualification

Tools

Claims management software

Job description

About the Role

Our client, a well-established insurer dedicated to providing excellent customer service, is seeking a diligent and empathetic Claims Handler to join their team in Mossel Bay, Western Cape . This role is central to managing personal lines insurance claims efficiently and effectively, ensuring policyholders receive timely and fair settlements during challenging times. You will be responsible for evaluating claim validity, communicating with clients, assessing damages, and processing payments while adhering to company policies and regulatory standards. The ideal candidate will possess strong communication and problem-solving skills, with a compassionate approach to customer interaction. This is an excellent opportunity to contribute to a reputable organization and develop your career in the insurance claims sector.

Key Responsibilities

• Receive, register, and manage personal lines insurance claims from initial notification to final settlement.
• Communicate effectively and empathetically with policyholders, providing clear guidance and updates throughout the claims process.
• Investigate claim circumstances, gather necessary documentation, and assess liability.
• Evaluate the extent of damages and coordinate with approved service providers (e.g., repairers, assessors) where necessary.
• Authorize claim payments in line with policy terms and conditions, within delegated authority limits.
• Ensure compliance with all relevant insurance regulations and company procedures.
• Maintain accurate and up-to-date records of all claims activities within the claims management system.
• Identify and elevate potentially fraudulent claims or complex cases for further review.
• Contribute to continuous improvement of claims handling processes.

Requirements

• Proven experience as a Claims Handler, preferably within personal lines insurance (e.g., household, personal motor, travel).
• A strong understanding of personal insurance products and claims processes.
• Excellent communication, interpersonal, and customer service skills.
• Proficiency in using claims management software and standard office applications.
• Strong analytical and problem-solving abilities, with keen attention to detail.
• Ability to work under pressure and manage a caseload efficiently.
• A proactive approach to tasks and a commitment to delivering high-quality service.
• Familiarity with the Mossel Bay, Western Cape area is beneficial.
• Relevant insurance qualifications (e.g., RE 5) are an advantage.

Benefits

• Our client offers a competitive salary and a comprehensive benefits package, including medical aid and a provident fund.
• Employees have access to ongoing training and professional development opportunities to enhance their skills in claims management.
• The hybrid work arrangement offers a balance between office-based collaboration and the flexibility of remote work.
• You will join a supportive team environment within a respected insurance company, with opportunities for career advancement.
• Be part of a company that values its employees and their contribution to customer satisfaction.