Insurance Claims Handler - Short-Term Commercial

Placements24; Mbombela (Nelspruit); Vor Ort; ZAR 180.000 - 300.000; Vollzeit

Benefits dieser Stelle

Medical aid

Retirement fund contributions

Ongoing training

Zusammenfassung

Placements24 is seeking an Insurance Claims Handler in Nelspruit to manage short-term commercial claims from initiation to closure. The role requires attention to detail, strong communication, and the ability to liaise with policyholders, brokers, assessors, and service providers to ensure accurate processing.

You will assess coverage based on policy terms, appoint loss adjusters as needed, review documentation, process payments timely, detect potential fraud, ensure regulatory compliance, and

Qualifikationen

• Proven experience as an Insurance Claims Handler for short-term commercial claims.
• Solid understanding of commercial insurance products and claims management principles.
• Excellent administrative, organizational, and time management skills.
• Strong communication and interpersonal abilities.
• Proficiency in claims management software and MS Office.
• Ability to interpret policy wordings and apply them to claims scenarios.

Aufgaben

• Receive, register, and manage a portfolio of short-term commercial insurance claims from initiation to closure.
• Assess claims for coverage, liability, and validity based on policy terms and conditions.
• Appoint and manage external loss adjusters and service providers as required.
• Communicate effectively with policyholders, brokers, and third parties throughout the claims process.
• Gather and review necessary documentation, including claim forms, reports, and supporting evidence.
• Process claims payments accurately and in a timely manner.
• Identify potential fraudulent claims and escalate them to the appropriate department for investigation.
• Ensure compliance with relevant legislation, regulations, and company procedures.
• Maintain accurate and up-to-date claim records in the company's systems.
• Contribute to improving claims handling processes and customer service standards.

Kenntnisse

Attention to detail

Communication skills

Claims management software

Microsoft Office

Regulatory compliance

Problem solving

Ausbildung

Relevant insurance qualifications or ongoing studies

Tools

Claims management software

Microsoft Office Suite

Jobbeschreibung

About the Role

Our client, a leading insurer with a strong footprint in South Africa, is looking for a detail-oriented and efficient Insurance Claims Handler to manage short-term commercial claims in Nelspruit . This role is crucial for processing claims accurately, ensuring prompt settlement, and maintaining high levels of customer satisfaction. The ideal candidate will have a solid understanding of commercial insurance policies and claims procedures, possess excellent administrative and communication skills, and be adept at resolving issues effectively. You will be responsible for liaising with clients, assessors, and other parties involved in the claims process, ensuring all documentation is in order and that claims are handled in accordance with policy terms and regulatory requirements. This position offers a stable career within the insurance industry in the Mpumalanga region.

Key Responsibilities

• Receive, register, and manage a portfolio of short-term commercial insurance claims from initiation to closure.
• Assess claims for coverage, liability, and validity based on policy terms and conditions.
• Appoint and manage external loss adjusters and service providers as required.
• Communicate effectively with policyholders, brokers, and third parties throughout the claims process.
• Gather and review all necessary documentation, including claim forms, reports, and supporting evidence.
• Process claims payments accurately and in a timely manner.
• Identify potential fraudulent claims and **escalate** them to the appropriate department for investigation.
• Ensure compliance with all relevant legislation, regulations, and company procedures.
• Maintain accurate and up-to-date claim records in the company's systems.
• Contribute to improving claims handling processes and customer service standards.

Requirements

• Proven experience as an Insurance Claims Handler, with a focus on short-term commercial insurance.
• Good understanding of commercial insurance products and claims management principles.
• Excellent administrative, organizational, and time management skills.
• Strong communication and interpersonal abilities.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to interpret policy wordings and apply them to specific claims scenarios.
• High attention to detail and accuracy in data entry and processing.
• Problem-solving skills and the ability to make sound decisions.
• Relevant insurance qualifications or ongoing studies are advantageous.
• Ability to work effectively under pressure and meet deadlines in the Nelspruit office.

Benefits

• Our client offers a competitive salary package commensurate with experience and skills, along with a comprehensive benefits program including medical aid and retirement fund contributions.
• Opportunities for ongoing training and professional development within the insurance sector are provided.

This role is based in our Nelspruit office, allowing for team collaboration and efficient workflow management. You will join a supportive and professional environment within a well-established insurance company in Mpumalanga , contributing to the efficient resolution of claims for commercial clients.