Insurance Claims Handler

Placements24; East London; Hybrid; ZAR 240,000 - 360,000; Full time

Benefits offered by this job

Medical aid

Retirement savings plan

Training & development

Hybrid work

Job summary

Placements24 in East London seeks an Insurance Claims Handler to manage claims processing for its Eastern Cape clients. You will receive, assess, and process claims with a focus on accuracy and policy adherence, while delivering excellent service.

The role combines office collaboration with home-based work in a hybrid setting, requiring strong communication and problem-solving skills to navigate complex claims scenarios.

Qualifications

• Experience as a Claims Handler or in customer service in the insurance industry is preferred.
• Strong understanding of insurance products and claims handling processes.
• Excellent communication, listening, and negotiation skills.
• High level of accuracy and attention to detail in processing information.
• Proficiency with claims management software and standard office applications.
• Hybrid work setting based in East London.

Responsibilities

• Receive, record, and acknowledge new insurance claims promptly.
• Investigate claims by gathering necessary documentation and information from claimants and third parties.
• Assess the validity of claims based on policy coverage and investigation findings.
• Communicate claim status, decisions, and requirements clearly to claimants.
• Process claim payments or rejections in accordance with company procedures and settlement agreements.
• Maintain accurate and up-to-date records of all claims handled in the system.

Skills

Customer service

Communication

Negotiation

Attention to detail

Workload management

Tools

Claims software

MS Office

Job description

About the Role

Our client is seeking a dedicated and efficient Insurance Claims Handler to manage claims processing for their East London branch. You will be responsible for receiving, assessing, and processing insurance claims in a timely and fair manner, ensuring adherence to policy terms and conditions. This role requires excellent customer service skills, attention to detail, and the ability to navigate complex claim scenarios effectively. The hybrid nature of this role allows for both collaborative teamwork in the office and focused administrative work from home, supporting clients across the Eastern Cape .

Key Responsibilities

• Receive, record, and acknowledge new insurance claims promptly.
• Investigate claims by gathering necessary documentation and information from claimants and third parties.
• Assess the validity of claims based on policy coverage and investigation findings.
• Communicate claim status, decisions, and requirements clearly to claimants.
• Process claim payments or rejections in accordance with company procedures and settlement agreements.
• Maintain accurate and up-to-date records of all claims handled in the system.

Requirements

• Previous experience as a Claims Handler or in a customer service role within the insurance industry is preferred.
• Strong understanding of insurance products and claims handling processes.
• Excellent communication, listening, and negotiation skills.
• High level of accuracy and attention to detail in processing information.
• Proficiency with claims management software and standard office applications.
• Ability to manage workload efficiently in a hybrid work setting based in East London.

Benefits

• Competitive annual salary with potential for merit-based increases.
• Hybrid work arrangement providing flexibility and work-life balance.
• Access to medical aid and a retirement savings plan.
• Ongoing training and development opportunities in claims management.
• A supportive team environment focused on customer satisfaction.