Claims Validation & Customer Service - Bonus

WatersEdge Solutions; Johannesburg; On-site; ZAR 200 000 - 300 000; Full time

Job summary

A leading claims services provider seeks a dedicated Claims Specialist to ensure accurate validation and finalization of claims. You will provide exceptional client support in sensitive contexts, uphold quality standards, and collaborate with various teams to deliver on production benchmarks. The ideal candidate has 3-5 years of experience in claims assessment and strong attention to detail. This role offers a market-related salary and performance-based bonuses, creating a meaningful impact in the lives of South Africans.

Benefits

Market-related salary

Performance-based annual bonus

Subsidised Life and Disability Cover

Funeral Cover

Qualifications

• Minimum 3–5 years of experience in Claims Assessment or Validation.
• Strong working knowledge of Microsoft Office and Outlook.
• Willing to work extra hours or overtime when required.

Responsibilities

• Validate all registered claims, ensuring accuracy and compliance.
• Prepare validated claims for payment.
• Offer support and guidance to clients on claim queries.
• Assist in fraud detection and investigations.
• Maintain daily claims metrics and reports.

Skills

Claims Assessment

Customer Service

Attention to Detail

Communication Skills

Problem-solving

Interpersonal Skills

Microsoft Office

Education

Matric / NQF 4

Tools

Dionysus

Job description

A leading claims services provider seeks a dedicated Claims Specialist to ensure accurate validation and finalization of claims. You will provide exceptional client support in sensitive contexts, uphold quality standards, and collaborate with various teams to deliver on production benchmarks. The ideal candidate has 3-5 years of experience in claims assessment and strong attention to detail. This role offers a market-related salary and performance-based bonuses, creating a meaningful impact in the lives of South Africans.