Claims Specialist: Fast-Paced Insurance

Confluent; Wes-Kaap; On-site; ZAR 180,000 - 360,000; Full time

Job summary

Confluent in South Africa is recruiting a Claims Consultant to manage insurance claims across multiple stages with a focus on accuracy and fair outcomes for clients. You will own claims, gather documentation, communicate updates, and ensure timely processing in a high-volume environment.

The role requires attention to detail, strong time management, and the ability to handle pressure while maintaining professional client interactions.

Qualifications

• Matric (Grade 12) is required for the role.
• Understanding of insurance principles (PPR, TCF) is essential.
• Ability to handle high volumes and meet strict TATs under pressure.
• Excellent verbal and written communication skills are needed.
• Proficiency with MS Office and claims systems is advantageous.

Responsibilities

• Receive, register, assess and process claims per policy terms at your stage.
• Verify supporting documents to ensure complete and accurate files.
• Own each claim stage and move it within agreed TATs for timely settlement.
• Track progress, follow up on requirements and escalate delays or fraud indicators.
• Manage high claim volumes while preserving quality and accuracy.
• Provide empathetic client support and proactive claim updates.
• Plan daily workload to meet productivity targets and stage TATs.
• Maintain accurate records, ensure compliance with TCF and POPIA.
• Liaise with brokers, underwriters and service providers.
• Participate in training and suggest process improvements.

Skills

Attention to detail

Time management

Resilience

Client focus

Ownership & accountability

Integrity

Education

Matric (Grade 12)

Tools

MS Office

Claims administration system

Job description

Confluent in South Africa is recruiting a Claims Consultant to manage insurance claims across multiple stages with a focus on accuracy and fair outcomes for clients. You will own claims, gather documentation, communicate updates, and ensure timely processing in a high-volume environment.

The role requires attention to detail, strong time management, and the ability to handle pressure while maintaining professional client interactions.