Life Claims Consultant | Waterkloof

The Recruitment Council; Pretoria; On-site; ZAR 300,000 - 450,000; Full time

Job summary

A leading financial services provider seeks a Life Claims Consultant to manage and process life insurance claims. The role involves overseeing the claims cycle, ensuring compliance, and providing exceptional client service. Candidates should have relevant qualifications and a strong understanding of life insurance products.

Qualifications

• Minimum 2 years’ experience in life insurance claims or a similar role.
• Prior exposure to the insurance or financial services industry is essential.

Responsibilities

• Oversee the full life insurance claims cycle from registration to payout.
• Liaise with clients and beneficiaries to collect required documentation.
• Evaluate claim validity by reviewing key documentation.

Skills

Communication

Interpersonal skills

Analytical thinking

Problem-solving

Attention to detail

Education

Matric / Grade 12

RE5 Certification

NQF5 in Wealth Management

Tertiary qualification in Insurance or Business Administration

Tools

Microsoft Office

Claims platforms

Job description

A leading financial services provider is looking for a Life Claims Consultant to manage and process life insurance claims with accuracy, empathy, and professionalism. This role requires someone who can confidently engage with clients and beneficiaries, handle sensitive information with discretion, and ensure a smooth claims experience that reflects the company’s commitment to service excellence.

Key Responsibilities:

Claims Administration:

• Oversee the full life insurance claims cycle – from registration to validation and final payout.
• Ensure claims are processed promptly and in line with SLAs, company policy, and legal/regulatory requirements.
• Accurately input and manage claim data within the claims management system.

Client Communication:

• Liaise with clients and beneficiaries to collect required documentation and explain the claims process.
• Provide regular, compassionate updates on claim progress while addressing queries professionally.
• Maintain a high standard of client service and empathy throughout all interactions.

Claims Verification & Assessment:

• Evaluate claim validity by reviewing key documentation such as policy contracts, death certificates, and medical records.
• Identify inconsistencies or potential fraud and escalate any concerns to the Claims Manager.
• Collaborate with medical professionals, legal teams, and assessors to support claim evaluations.

Collaboration & Coordination:

• Work closely with internal teams including underwriters and legal advisors to ensure aligned and consistent claims handling.
• Assist in resolving complex cases through cross-functional cooperation and support.

Compliance & Reporting:

• Ensure all processes follow Treating Customers Fairly (TCF) principles and relevant regulatory standards.
• Compile and submit accurate claims reports, highlighting key insights, process gaps, and improvement opportunities.

Qualifications:

• Matric / Grade 12.
• RE5 Certification.
• NQF5 in Wealth Management.
• A tertiary qualification in Insurance, Business Administration, or a related field is advantageous.
• Additional certifications in life claims or insurance processing are preferred.

Experience:

• Minimum 2 years’ experience in life insurance claims or a similar role.
• Prior exposure to the insurance or financial services industry is essential.

Skills & Attributes:

• Solid understanding of life insurance products and claims procedures.
• Exceptional communication and interpersonal skills, with a client-first and empathetic approach.
• Strong administrative and system proficiency, especially in Microsoft Office and claims platforms.
• High attention to detail and organisational accuracy.
• Good analytical thinking and problem-solving capabilities.
• Professional discretion when handling confidential or sensitive client information.
• Ability to multitask effectively in a fast-paced, deadline-driven environment.