Senior Claim Handler

Interdot Solutions; Johannesburg; On-site; ZAR 400 000 - 600 000; Full time

Job summary

A firm in Insurance is looking for a skilled Senior Claims Handler in Johannesburg. The ideal candidate should have 5 to 10 years of experience in insurance claims handling, strong analytical and communication skills, and be familiar with evaluating and negotiating settlements. Responsibilities include assessing claims for accuracy, collaborating with teams, and mentoring junior staff. This position promises a dynamic environment with opportunities for professional growth.

Qualifications

• 5 to 10 years of experience in insurance claims handling.
• Strong understanding of insurance policies and legal regulations.
• Exceptional verbal and written communication skills.

Responsibilities

• Evaluate claims for coverage and liability.
• Investigate claims and gather relevant information.
• Negotiate settlements with claimants.

Skills

Insurance claims handling

Excellent communication skills

Analytical skills

Negotiation skills

Leadership abilities

Education

Qualification in business or finance

FAIS Regulatory Examination (RE5)

Tools

Claims processing software

Job description

We are seeking a skilled Senior Claims Handler to join our client in the Insurance industry. The ideal candidate will have a strong background in insurance claims processing from registering to payment stage, exceptional communication skills, and a commitment to providing outstanding customer service.

Responsibilities

• Evaluate insurance claims promptly and accurately, determining coverage and liability.
• Investigate claims thoroughly, gathering relevant information from various sources including clients, witnesses, and experts.
• Analyse policy documentation and legal regulations to ensure claims are handled in compliance with company procedures and industry standards.
• Collaborate with other departments such as underwriting and legal to resolve complex claims issues.
• Negotiate settlements with claimants or their representatives, aiming for fair and efficient resolutions.
• Document claim activities and maintain accurate records by company policies and regulatory requirements.
• Provide guidance and mentorship to junior claims handlers, assisting in their professional development.
• Stay informed about industry trends, legal developments, and emerging technologies related to claims handling.
• Liaise with insurers and suppliers.
• Communicate with insurers telephonically and by email (relating to claim progress)
• Assist insurers with general and claims-related queries.
• Administrate domestic and commercial, motor, and non-motor claims.
• Manage and settle claims timeously.
• Manage the allocation of claim reserves/outstandings.
• Assist with administrative functions and projects at the request of management.
• Maintain the electronic claims filing system (including the renaming of documents).
• Request and/or check claim payments according to a mandate.

Qualifications

• Qualification in business, finance, or a related field preferred.
• Minimum of 5 10 years of experience in insurance claims handling.
• Previous experience in the insurance industry is a must
• Strong understanding of insurance policies, coverage terms, and legal regulations.
• Experience working with binder claims and mandates
• Excellent analytical skills with the ability to assess complex situations and make sound decisions.
• Exceptional communication and negotiation skills, both written and verbal.
• Proficiency in relevant computer software and databases for claims processing.
• Demonstrated leadership abilities with a track record of successfully managing projects or teams.
• FAIS Regulatory Examination (RE5) (advantageous)
• Adherence to the FSCA Fit and Proper requirements