Senior Claims consultant (PTA)

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

Job summary

A leading insurance firm in Pretoria seeks a Senior Claims Consultant to manage claims and ensure efficiency in the claims department. The role involves technical expertise, customer service, and strong communication skills. The ideal candidate will have experience in the insurance field and excel in claims analysis and reporting. This full-time position offers an opportunity to grow in a reputable company.

Qualifications

• Experience in handling claims in the insurance industry.
• Ability to analyze and identify trends in claims data.
• Strong attention to detail and accuracy in claims processing.

Responsibilities

• Evaluate and investigate all claims to prevent leakage.
• Maintain a high level of service according to SLAs.
• Create Excel reports for claims analysis.
• Communicate professionally with all stakeholders.

Skills

Technical expertise

Customer service

Communication skills

Analytical skills

Tools

Excel

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.

Other Information

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Finance and Sales
• Industries: Insurance