Insurance Claims Specialist - Empathy in Action

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

Benefits offered by this job

Competitive salary

Performance bonuses

Medical aid

Retirement planning

Training & development

Supportive team

Job summary

Placements24 is seeking an Insurance Claims Handler in Paarl to join a client-focused team. You will oversee the claims process from initial notification to settlement, ensuring fair, timely decisions and excellent service.

You will gather information, assess coverage, communicate with policyholders, and escalate suspected fraud. The role requires organization, empathy, and strong problem-solving in a dynamic insurance environment.

Qualifications

• Experience in claims handling, customer service, or related administrative role.
• Understanding of insurance principles and policy documentation.
• Strong organizational skills to manage a caseload efficiently.
• Excellent communication and interpersonal skills with empathy.
• Proficiency with computer systems for claims management and record-keeping.
• Attention to detail and accuracy.

Responsibilities

• Receive and log new insurance claims promptly and accurately.
• Gather information and documentation from claimants and relevant parties.
• Assess validity and extent of claims based on policy coverage and evidence.
• Communicate claim status updates regularly to policyholders.
• Negotiate settlements within defined authority limits.
• Process claim payments and maintain records of all claim activities.
• Identify potential fraudulent claims and escalate them for further investigation.

Skills

Organizational skills

Communication skills

Problem-solving

Empathy

Attention to detail

Customer service orientation

Education

Experience in claims handling or related role

Tools

Claims management software

MS Office

Job description

Placements24 is seeking an Insurance Claims Handler in Paarl to join a client-focused team. You will oversee the claims process from initial notification to settlement, ensuring fair, timely decisions and excellent service.

You will gather information, assess coverage, communicate with policyholders, and escalate suspected fraud. The role requires organization, empathy, and strong problem-solving in a dynamic insurance environment.