Remote Insurance Claims Handler

Placements24; LegKraal Gate; Hybrid; ZAR 180,000 - 260,000; Full time

Benefits offered by this job

Competitive salary

Performance bonuses

Medical insurance

Retirement planning

Paid time off

Remote work

Job summary

Placements24 is seeking a Remote Insurance Claims Handler to manage claims from a home office with empathy and efficiency. You will assess coverage, verify eligibility, and communicate decisions clearly to policyholders, ensuring fair and timely resolutions across South Africa.

In this role, you will log and track claims, gather supporting documentation, and process payments while maintaining accurate records.

Qualifications

• Experience as a Claims Handler or in a customer service role within insurance.
• Strong understanding of insurance principles and claims handling procedures.
• Excellent communication, listening and customer service skills.

Responsibilities

• Receive, log, and acknowledge new insurance claims accurately and promptly.
• Verify policy coverage and assess claim validity according to terms and conditions.
• Communicate updates and explain the claims process clearly to claimants.
• Gather documentation to support claim assessment.
• Process payments for approved claims and respond to status inquiries.
• Maintain accurate, up-to-date claim records in the system.

Skills

Communication

Customer service

Time management

Claims software

Education

High school diploma

Tools

Claims software

Job description

About the Role

Our client is seeking an organized and empathetic Remote Insurance Claims Handler to manage claims efficiently from their home office. This role is vital for ensuring timely and fair resolution of insurance claims, providing support to policyholders throughout the claims process. You will assess claim details, verify coverage, and communicate decisions clearly and compassionately. This is an excellent opportunity for an experienced professional looking for the flexibility of remote work while making a meaningful impact on customer satisfaction, contributing to the company's reputation for excellent service and efficient claims management across South Africa, all from the convenience of a remote setup.

Key Responsibilities

• Receive, log, and acknowledge new insurance claims accurately and promptly.
• Verify policy coverage and assess the validity of claims according to policy terms and conditions.
• Communicate effectively with claimants, providing updates and explaining the claims process.
• Gather necessary documentation and information to support claim assessment.
• Process payments for approved claims and handle inquiries related to claim status.
• Maintain accurate and up-to-date claim records in the system.

Requirements

• Previous experience as a Claims Handler or in a customer service role within the insurance industry.
• Strong understanding of insurance principles and claims handling procedures.
• Excellent communication, listening, and customer service skills.
• Proficiency in using claims management software and standard office tools.
• Ability to manage workload efficiently and meet deadlines in a remote environment.
• High school diploma or equivalent; relevant certifications are a plus.

Benefits

• Competitive salary and potential for performance bonuses.
• Comprehensive medical and retirement planning benefits.
• Generous paid time off.
• Fully remote work arrangement with support for home office setup.
• A positive and supportive remote team environment.