Motor Claims Specialist - Accurate & Customer-Focused

Telesure Investment Holdings (TIH); Johannesburg; On-site; ZAR 180,000 - 240,000; Full time

Job summary

TIH seeks a claims processing professional to handle already-captured claims with accuracy and efficiency, drawing on established criteria to ensure standardisation. You will manage customer requests, collect data, analyse information and support underwriting decisions to finalise claims within required SLAs.

The role involves preparing claim documents, data entry, and timely communication with insureds and relevant parties, while maintaining up-to-date product knowledge and adherence to claims

Qualifications

• Grade 12 / SAQA Accredited Equivalent (Essential)
• 1+ years Financial Services industry experience (Essential)
• Call Centre Experience (Essential)
• 1+ years Claims Experience (Advantageous)
• At least 2-3 years' experience in a Customer Service environment (Advantageous)

Responsibilities

• Process already-captured claims efficiently and accurately using established criteria.
• Manage customer requests and provide standard services to complete the customer request.
• Collect data from multiple sources, analyse information and investigate claims to support decision-making.
• Organise work schedule to complete tasks within SLA and ensure timely finalisation of claims.
• Prepare insurance claim forms or related documents and review them for completeness.
• Enter claims information into database systems and post or attach information to claim files.
• Respond to routine requests via telephone or email and provide appropriate correspondence.
• Review policy coverage and communicate outcomes to customers and other involved parties.

Education

Grade 12 / SAQA Accredited Equivalent

Job description

TIH seeks a claims processing professional to handle already-captured claims with accuracy and efficiency, drawing on established criteria to ensure standardisation. You will manage customer requests, collect data, analyse information and support underwriting decisions to finalise claims within required SLAs.

The role involves preparing claim documents, data entry, and timely communication with insureds and relevant parties, while maintaining up-to-date product knowledge and adherence to claims