Insurance Claims Specialist — End-to-End Processing

Placements24; Cape Town; On-site; ZAR 240,000 - 360,000; Full time

Benefits offered by this job

Medical aid

Retirement fund

Job summary

Placements24 in Upington is seeking a diligent Insurance Claims Handler to manage end-to-end processing of claims on site. You will receive, register, verify coverage, assess losses, and coordinate settlements to ensure a smooth, fair claims experience for policyholders.

The role requires solid knowledge of insurance policies, strong organizational and time-management skills, and excellent communication. Proficiency with claims software and standard office tools is essential, as you will support

Qualifications

• Experience in claims handling or administration within the insurance sector is essential.
• Solid understanding of insurance policies, claims procedures, and relevant legislation.
• Excellent organizational and time-management skills, with the ability to manage a caseload efficiently.
• Strong communication and interpersonal skills for effective client and stakeholder interaction.
• Proficiency in using claims management software and standard office applications.

Responsibilities

• Receive, register, and acknowledge insurance claims promptly and accurately.
• Verify policy details and coverage limits to confirm eligibility for claims processing.
• Assess the extent of loss or damage by reviewing documentation, liaising with adjusters, and obtaining necessary reports.
• Communicate effectively with claimants, providing updates, explaining procedures, and addressing queries.
• Authorize and process claim payments in accordance with policy terms and company guidelines.
• Identify and flag potentially fraudulent claims for further investigation by the appropriate team.

Skills

Claims handling

Policy understanding

Organization

Communication

Software proficiency

Attention to detail

Tools

Claims software

Job description

Placements24 in Upington is seeking a diligent Insurance Claims Handler to manage end-to-end processing of claims on site. You will receive, register, verify coverage, assess losses, and coordinate settlements to ensure a smooth, fair claims experience for policyholders.

The role requires solid knowledge of insurance policies, strong organizational and time-management skills, and excellent communication. Proficiency with claims software and standard office tools is essential, as you will support