Senior Claims Consultant (Pta)

Neptune; Gauteng; On-site; ZAR 400 000 - 500 000; Full time

Job summary

A leading insurance company in Gauteng seeks a Senior Claims Consultant to manage claims, ensuring efficiency and quality service. The role involves evaluating claims, maintaining high service standards, and fostering relationships with stakeholders. Candidates should demonstrate technical expertise and strong communication skills. Join this dynamic team to contribute to the company's success.

Qualifications

• Technical expertise to evaluate and investigate claims to prevent company losses.
• High level of service to customers as per service level agreements.
• Ability to create Excel reports for analysis and decision-making.

Responsibilities

• Evaluate and investigate claims to prevent leakage.
• Maintain service quality for internal and external customers.
• Deliver support to brokers and participate in meetings.

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 time‑based 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.