Hybrid Claims Specialist - Short-Term Insurance

Placements24; Stellenbosch; Hybrid; ZAR 240,000 - 360,000; Full time

Benefits offered by this job

Medical aid

Provident fund

Life insurance

Job summary

Placements24 in Stellenbosch is seeking a diligent Claims Handler for short-term insurance. You will assess claims, gather documentation, and coordinate with assessors and claimants to ensure timely settlements. A matric certificate, 2+ years claims experience, and strong admin skills are required.

The role offers a hybrid working model and a supportive team in the Western Cape. Medical aid, provident fund, and life insurance are among the benefits, with opportunities for professional

Qualifications

• 2+ years of experience in claims handling, preferably within short-term insurance.
• Strong understanding of general insurance principles and policy wordings.
• Excellent administrative and organizational skills.
• Strong verbal and written communication skills.
• Proficiency with claims management software and MS Office.

Responsibilities

• Receive, log, and process new insurance claims accurately and efficiently.
• Assess claim validity based on policy terms and conditions.
• Gather necessary documentation and information from claimants and third parties.
• Communicate claim status updates to policyholders in a clear and timely manner.
• Appoint and manage service providers, such as assessors and repairers.
• Negotiate settlements within delegated authority limits.
• Identify and escalate potentially fraudulent or complex claims.
• Maintain accurate and comprehensive claim files in the system.
• Ensure compliance with company procedures and regulatory requirements.
• Contribute to a positive claims experience for all policyholders in Stellenbosch, Western Cape.

Skills

Administrative skills

Communication skills

Attention to detail

Working under pressure

Empathy and patient interactions

Education

Matriculation certificate or equivalent

Cert CII / NQF Level 4 (advantageous)

Tools

Claims management software

MS Office Suite

Job description

Placements24 in Stellenbosch is seeking a diligent Claims Handler for short-term insurance. You will assess claims, gather documentation, and coordinate with assessors and claimants to ensure timely settlements. A matric certificate, 2+ years claims experience, and strong admin skills are required.

The role offers a hybrid working model and a supportive team in the Western Cape. Medical aid, provident fund, and life insurance are among the benefits, with opportunities for professional