Insurance Claims Handler - Short-Term Insurance

Placements24; Soweto; On-site; ZAR 180,000 - 260,000; Full time

Benefits offered by this job

Medical aid

Provident fund

Training on claims processes

Job summary

Placements24 is seeking a diligent Claims Handler in Soweto, Gauteng. You will manage the end-to-end claims process, assess coverage, communicate with claimants, and authorize payments within policy limits in a busy claims department.

The role emphasizes empathy, accuracy, and adherence to regulations while delivering excellent customer service in a dynamic insurance environment.

Qualifications

• Minimum of 3 years in short-term insurance as a Claims Handler.
• Solid understanding of Motor, Household, and Personal Liability policies.
• Excellent communication, negotiation, and problem-solving skills.

Responsibilities

• Receive, log, and assess new insurance claims submitted by policyholders.
• Interpret policy wordings to determine coverage and liability.
• Communicate updates and explanations to claimants throughout the process.
• Gather documentation and evidence to support claim assessment.
• Investigate claims, conduct inquiries, and liaise with third parties.

Skills

Communication skills

Negotiation

Analytical thinking

Education

RE5 insurance qualification

Tools

MS Office

Claims management system

Job description

About the Role

Our client, a reputable provider of short-term insurance solutions, is seeking a diligent and empathetic Claims Handler to join their busy claims department in Soweto. This role is essential in managing the end-to-end claims process, ensuring fair and efficient resolution for policyholders. You will be responsible for receiving, assessing, and processing claims, communicating with claimants and relevant parties, and authorizing payments within policy limits. This is an office-based position, offering a stable and collaborative work environment within the Gauteng region. The ideal candidate will possess excellent communication skills, a strong understanding of short-term insurance policies, and a commitment to delivering outstanding customer service during potentially stressful times. Your ability to handle claims accurately and empathetically will be critical to client satisfaction and the operational success of our client in Soweto.

Key Responsibilities

• Receive, log, and assess new insurance claims submitted by policyholders.
• Interpret policy wordings to determine coverage and liability.
• Communicate effectively with claimants, providing updates and explanations throughout the claims process.
• Gather necessary documentation and evidence to support claim assessment.
• Investigate claims, conduct necessary inquiries, and liaise with third parties (e.g., assessors, repairers).
• Authorize and process claim payments in accordance with policy terms and company guidelines.
• Manage a caseload of claims efficiently, ensuring timely resolution.
• Identify and report any potential fraudulent claims for further investigation.
• Maintain accurate and up-to-date records of all claims activity.
• Ensure compliance with all relevant insurance regulations and company procedures.

Requirements

• Minimum of 3 years of experience as a Claims Handler in short-term insurance.
• Solid understanding of various short-term insurance policies (e.g., Motor, Household, Personal Liability).
• Excellent communication, negotiation, and interpersonal skills.
• Strong analytical and problem-solving abilities.
• Proficiency in claims management systems and MS Office.
• Ability to work accurately and efficiently under pressure.
• High degree of empathy and customer service focus.
• Relevant insurance qualifications (e.g., RE5) are beneficial.
• Ability to work independently and as part of a team.
• Detail-oriented with strong organizational skills.

Benefits

Our client offers a competitive salary package, along with performance-based incentives. Standard benefits include medical aid and a provident fund. Comprehensive training on claims processes and systems will be provided. This role offers the opportunity to develop your career within a respected insurance company in Soweto, playing a key role in customer support and claims resolution.