Senior Claims Handler - Durban

Placements24; Durban; Hybrid; ZAR 300,000 - 420,000; Full time

Benefits offered by this job

Salary package with incentives

Flexible hybrid work environment

Professional growth & training

Medical aid & provident fund

Employee assistance program

Job summary

WhatJobs Direct in Durban is seeking a Senior Claims Handler with extensive experience to manage a portfolio of complex insurance claims. The role requires thorough investigation, negotiation, and resolution, while liaising with policyholders, legal professionals, and stakeholders.

The ideal candidate will demonstrate exceptional analytical skills, strong negotiation abilities, and a high level of autonomy suitable for a hybrid work arrangement in the Durban area and beyond.

Qualifications

• Significant experience as a Claims Handler or Adjuster with a track record managing complex claims.
• Strong understanding of insurance policies, claims procedures and legal principles.
• Excellent negotiation, communication and interpersonal abilities.

Responsibilities

• Manage and process complex insurance claims from initiation to closure.
• Investigate claims by gathering evidence, interviewing claimants and reviewing documentation.
• Assess liability and coverage based on policy terms and conditions.
• Negotiate settlements with claimants, legal representatives and third parties.
• Ensure compliance with insurance regulations and legal requirements.
• Maintain accurate records of all claim activities and communications.
• Provide clear updates to policyholders and internal stakeholders.
• Identify and investigate potentially fraudulent claims, escalating as necessary.
• Mentor junior claims handlers as needed.

Skills

Claims handling experience

Negotiation skills

Analytical thinking

Communication

Independent work

Education

Insurance qualifications (IIU CIP)

Tools

Claims management software

Job description

About the Role

Our client, WhatJobs Direct, is looking for a seasoned Senior Claims Handler to join their dedicated team in Durban . This hybrid role involves managing a portfolio of complex insurance claims, requiring thorough investigation, negotiation, and resolution. You will liaise with policyholders, legal professionals, and other stakeholders to ensure fair and efficient claim settlements, adhering strictly to policy terms and legal frameworks. The ideal candidate will possess extensive experience in claims management, exceptional analytical skills, and a strong aptitude for negotiation and customer service. This position demands a high level of autonomy, accuracy, and integrity, while also benefiting from the flexibility of a hybrid work arrangement. You will be instrumental in upholding our client's reputation for excellence in claims service within the Durban area and beyond.

Key Responsibilities

• Manage and process complex insurance claims from initiation to closure.


• Investigate claims by gathering evidence, interviewing claimants, and reviewing documentation.


• Assess liability and coverage based on policy terms and conditions.


• Negotiate settlements with claimants, legal representatives, and third parties.


• Ensure compliance with all relevant insurance regulations and legal requirements.


• Maintain accurate and detailed records of all claim activities and communications.


• Provide clear and timely updates to policyholders and internal stakeholders.


• Identify and investigate potentially fraudulent claims, escalating as necessary.


• Contribute to the development and implementation of claims handling best practices.


• Mentor and provide guidance to junior claims handlers as needed.

Requirements

• Significant experience as a Claims Handler or Claims Adjuster, with a proven track record of managing complex claims.


• Comprehensive understanding of insurance policies, claims procedures, and legal principles.


• Strong analytical, problem-solving, and decision-making skills.


• Excellent negotiation, communication, and interpersonal abilities.


• Proficiency in claims management software and standard office applications.


• Ability to work independently and manage a caseload effectively in a hybrid setting.


• Relevant professional qualifications in insurance (e.g., IIU, CIP) are highly advantageous.


• High level of integrity and ethical conduct.


• Adaptability to changing regulatory requirements and business needs.


• Must be able to attend the Durban office as required by the hybrid schedule.

Benefits

• Attractive salary package with performance incentives.


• Flexible hybrid work environment.


• Opportunities for professional growth and advanced training.


• Exposure to a diverse range of challenging claims.


• Contribution to medical aid and provident fund.


• Employee assistance program for support and well-being.


• A collaborative team culture focused on excellence.