Senior Claims Consultant

Believe Resourcing Pty Ltd; Gauteng; Hybrid; ZAR 400 000 - 500 000; Full time

Job summary

A leading insurance consultancy in South Africa is looking for a Senior Claims Consultant to provide expertise in claims risk management. You will have over 10 years of claims assessment experience, including Group Life insurance. The role involves marketing services to clients, establishing relationships, and ensuring the profitability of the portfolio. The culture promotes big thinking and offers a hybrid working model along with comprehensive benefits including life, health, and retirement benefits.

Benefits

Life and health benefits

Retirement benefits

Hybrid working environment

Bonus scheme

Employee assistance program

Wellness programmes

Global mobility opportunities

Qualifications

• Minimum 10 years claims assessment and case management experience in the insurance industry (dealing with Life Claims)
• At least 5 years of Group Life insurance experience.

Responsibilities

• Providing claims risk management expertise to the team and clients
• Marketing claims risk management services to clients
• Ensuring effective claims risk management practices

Skills

Communication skills

Negotiation skills

Report writing skills

Financial Acumen

Computer literacy

Ability to analyse data

Education

BSc degree in Occupational Therapy, Physiotherapy, Psychology or Equivalent

Job description

Senior Claims Consultant Reference: CPT

With over 40 employees across numerous global locations, our client has been a pillar of the insurance industry in South Africa for over 50 years.

They are at the forefront of transforming how insurance is perceived, converting uncertainty into manageable risk and driving fundamental change.

About the role

As a Senior Claims Consultant, you'll provide expertise to the team and clients, market risk management services, promote effective practices, manage relationships, ensure portfolio profitability, advise on best practices, and validate claims.

Why join them?

Working in an environment that encourages big thinking and challenges the status quo.

Employees will experience a culture that cares and dares, where empathy, leadership, and coaching future leaders are paramount.

Benefits

• Life and health benefits
• Retirement benefits
• Hybrid working environment
• Bonus scheme
• Employee assistance program
• Wellness programmes
• Global mobility opportunities

Requirements

• BSc degree in Occupational Therapy, Physiotherapy, Psychology or Equivalent
• Minimum 10 years claims assessment and case management experience in the insurance industry (dealing with Life Claims) with a minimum of 5 years of Group Life insurance experience
• Communication skills
• Negotiation skills
• Report writing skills
• Financial Acumen
• Computer literacy
• Ability to analyse data that informs business practices and approaches

Responsibilities

• Providing claims risk management expertise to the team and clients
• Marketing of claims risk management services to clients (Life Insurance companies)
• Promoting and ensuring effective claims risk management practices relating to the portfolio
• Establishing and managing relationships with Claims Managers and other decision makers
• Ensuring profitability of portfolio through prudent claims risk management practices
• Providing advice to clients with regard to international and local best practices
• Responsible for ensuring validity of claims