Specialist - Insurance Operations

Marsh; Gqeberha; On-site; ZAR 900,000 - 1,300,000; Full time

Job summary

Marsh South Africa is seeking a Specialist - Insurance Operations (Claims Advisory) based in Port Elizabeth to service a portfolio of complex claims for clients, ensuring adherence to service standards and KPI targets.

You will review new claims, validate coverage information, update core claims applications, coordinate settlements, and provide procedural guidance to clients while building strong client relationships.

Qualifications

• Client-facing role experience.
• Strong analytical and numerical skills.
• Ability to manage complex claims and deliver high-quality service.

Responsibilities

• Independently service clients and manage a portfolio of complex and significant claims.
• Receive new claims, review, collect information and notify insurers.
• Identify coverage information and update core claims systems through to finalisation.
• Coordinate settlements or payments and reporting with insurers and clients.
• Provide procedural claims guidance and client advisory services.
• Build and maintain relationships with clients, colleagues, service providers and insurers.
• Communicate effectively with clients and insurers in line with local procedures.
• Generate and distribute claims reports as required.

Skills

Client-facing

Decision making

Communication

Education

Legal degree or university degree

Matric

Insurance qualification

FAIS Accreditation

RE Examination

Tools

MS Office

Job description

Company:

Marsh

Description:

Marsh South Africa is seeking candidates for a "Specialist - Insurance Operations (Claims Advisory)" based in the Port Elizabeth - Cape office:

What can you expect?

Maintain quality in all areas of client deliverables, including monitoring delivery and invoicing to ensure client is satisfied.

Take a pro-active approach to all aspects of account management and service delivery to clients, ensuring client needs are identified and met in line with agreed service standards; (Client First Principles)

We will count on you to:

• Independently service clients and manage a portfolio of complex and significant claims and clients
• Receive new claims from clients and/or colleagues - review, process, collect information and notify all appropriate insurers.
• Identify and validate all potentail policies and coverage information; update core claims applications and track the process through to completion of each claim movement or until finalization of the Marsh responsibilities agreed with the client.
• Manage, facilitate and action all subsequent movements or activities, including settlement or payment as appropriate and reporting, through to completion of the claim
• Provide procedural claims guidance and advice to clients
• Build and maintain effective relationships with clients, colleagues, service providers , third parties and insurers
• Effectively communicate with clients, colleagues, third parties or insurers as appropriate at all times, and as per local procedures
• Proactively handle ,manage and prioritize tasks and activities to ensure adherence to local ,client service standards ,deliverables and Key Performance Indicators (KPI's)
• Build and maintain effective relationships with clients, colleagues, service providers , third parties and insurers
• Generate claims reports as required, validate, supplement and distribute as necessary
• Attend meetings with clients, insurers or third parties as required

What you need to have:

• Legal degree/Diploma or university degree (or equivalent experience) would be advantageous
• Matric required
• Insurance qualification preferable
• FAIS Accreditation preferable
• RE Examination preferable / to be obtained
• Minimum 5 years' work experience in the sector
• Ability to manage complex claims
• Self-insurance, aggregate and captive claims handling knowledge.
• Excellent decision-making skills
• Experience in a client-facing role

What makes you stand out

• Great communicator, collaborator, influencer.
• Continuous improvement approach
• Think outside of the box and a can-do attitude
• Clear and concise oral and written communication skills
• Strong numerical skills
• Excellent organization skills - able to prioritize work and meet deadlines
• Excellent interpersonal skills - able to work within a team
• Comfortable and experience working with technology (solutions)
• Proficient in Microsoft Office tools (or equivalent) - Outlook, Word and Excel
• Strong problem solving capabilities

Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow us on LinkedIn and X.

Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age, background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, or any other characteristic protected by applicable law. We are also committed to providing reasonable support to any candidate with a disability to allow them to fully participate in the recruitment process. We welcome candidates to contact us at [e-mail] to discuss any specific needs.