Senior Claims Consultant

Hollard Insurance; Pretoria; On-site; ZAR 400 000 - 500 000; Full time

Job summary

A leading insurance company in South Africa is seeking a Senior Claims Consultant to manage claims effectively and uphold service standards. The role requires technical expertise in claims evaluation, strong customer service skills, and the ability to support brokers during their processes. Ideal candidates will have a proactive communication style and a commitment to uphold professional standards, contributing to the organization's growth and reputation.

Responsibilities

• Evaluate and investigate all claims to prevent leakage.
• Maintain high service levels for internal and external customers.
• Provide advanced support and technical expertise to brokers.
• Participate in broker meetings to improve collaboration.
• Create Excel reports for claims analysis.
• Communicate professionally and respond to queries promptly.
• Register all claims within 24 hours.

Job description

Job Purpose

The Senior Claims Consultant is responsible for managing claims allocated to the branch, in alignment with branch mandates and company standards. This role plays a key part in ensuring the efficiency and effectiveness of the claims department by upholding technical excellence and service quality. The incumbent will contribute to the growth and profitability of Hollard by ensuring accurate claims settlement, maintaining the department's professional standards, and fostering strong relationships with internal and external stakeholders, thereby enhancing Hollard's reputation.

Key Responsibilities

• Technical expertise: To evaluate and investigate all claims received in order to prevent possible leakage to the company in the settlement of claims.
• Customer service: Maintain a high level of service to customers (internal and external) according to service level agreements and within the service standards set by the company.
• Broker Support: Deliver advanced support, including binder brokers, exceeding routine claims processing by offering expert technical expertise and assistance.
• Participate actively in broker meetings to strengthen collaboration and ensure alignment on claims-related matters.
• Reporting: Create Excel reports to support claims analysis, trend identification, and decision‑making processes.
• Effective and timeous communication: Communicate in a professional manner with internal and external parties and respond to queries within 24 hours.
• Registration: All claims received to be registered within 24 hours.