Senior Complex Insurance Claims Specialist

Placements24; Vereeniging; On-site; ZAR 300,000 - 520,000; Full time

Benefits offered by this job

Competitive salary

Medical aid

Retirement savings plan

Generous leave

Professional development

Collaborative team

Job summary

Placements24 in Vereeniging, Gauteng, seeks an experienced Insurance Claims Handler to manage complex claims in a busy office. You will investigate, assess, and resolve claims fairly, serving as the main contact for policyholders in challenging situations.

The role requires empathy, strong negotiation skills, and knowledge of claims processes, policies, and relevant legislation. Based in Vereeniging, it offers comprehensive benefits and opportunities for professional growth.

Qualifications

• Experience in handling insurance claims, including complex cases.
• Strong understanding of policies, legal principles and claims processes.
• Excellent communication and negotiation abilities.

Responsibilities

• Investigate, evaluate, and settle complex insurance claims.
• Gather documentation, interview parties, and analyze evidence.
• Communicate empathetically with claimants and policyholders.
• Negotiate settlements within authorized limits.
• Appoint/manage external service providers when needed.
• Identify potential fraud or misrepresentation.
• Maintain accurate claim files and records.
• Keep up with legislation and policy updates.

Skills

Claims handling

Communication

Negotiation

Analytical skills

Microsoft Office

Education

FAIS accreditation advantageous

Tools

Claims management software

Microsoft Office Suite

Job description

Placements24 in Vereeniging, Gauteng, seeks an experienced Insurance Claims Handler to manage complex claims in a busy office. You will investigate, assess, and resolve claims fairly, serving as the main contact for policyholders in challenging situations.

The role requires empathy, strong negotiation skills, and knowledge of claims processes, policies, and relevant legislation. Based in Vereeniging, it offers comprehensive benefits and opportunities for professional growth.