Insurance Claims Specialist - Customer-Focused & Efficient

Placements24; LegKraal Gate; On-site; ZAR 320,000 - 440,000; Full time

Benefits offered by this job

Competitive salary

Medical aid

Retirement fund

Training opportunities

Career advancement opportunities

Job summary

Placements24 in Mahikeng seeks an Insurance Claims Handler to manage the claims process from notification to settlement. The successful candidate will verify policy coverage, liaise with customers, and ensure accurate payments while delivering excellent customer service.

The role emphasizes strong communication, organization, and adherence to claims procedures to uphold reliability and fairness in North West operations.

Qualifications

• Previous experience in an insurance claims environment or customer service role.
• Good understanding of insurance principles and policy terms.
• Strong communication and interpersonal skills, with empathy for customers.
• Excellent organizational skills and attention to detail.
• Proficiency in using claims handling software and standard office applications.
• Ability to manage a caseload efficiently and meet deadlines.

Responsibilities

• Receive and log new insurance claims, ensuring all necessary information is captured.
• Verify policy details and coverage limits applicable to each claim.
• Communicate with policyholders to explain the claims process and required documentation.
• Investigate claim circumstances, gather supporting evidence, and assess liability.
• Process claim settlements and payments accurately and in a timely manner.
• Maintain detailed and accurate records of all claim activities in the claims management system.

Skills

Communication skills

Empathy

Organizational skills

Caseload management

Customer service

Insurance principles

Office software

Claims software

Tools

Claims software

MS Office

Job description

Placements24 in Mahikeng seeks an Insurance Claims Handler to manage the claims process from notification to settlement. The successful candidate will verify policy coverage, liaise with customers, and ensure accurate payments while delivering excellent customer service.

The role emphasizes strong communication, organization, and adherence to claims procedures to uphold reliability and fairness in North West operations.