Senior Claims Handler
Senior Claims Handler
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1 Vacancy
Job Description
Description
Responsibiltiies
Claims Process Management
Maintain claims standards and provide highquality client service.
Register motor and nonmotor claims for personal and commercial policies.
Appoint assessors and confirm adequate policy cover.
Manage claims from registration to final settlement.
Gather and verify information related to claims from clients and involved parties.
Review completed forms and check against policy cover.
Consult internally to determine claim outcomes and compensation.
Communicate outcomes to clients in writing.
Refer complex claims to specialists such as loss adjusters.
Determine claim merits based on investigations and reports.
Settle claims within authority limits to avoid financial leakage.
Continuously adjust reserves as needed.
Arrange:
Car hire for undrivable or stolen vehicles.
Contractors to assist clients in obtaining necessary documents.
Manage the salvage process through to recovery payments.
Follow up with assessors and loss adjusters as required.
Negotiate claims with clients service providers and insurers.
Maintain detailed and dated notes on claim files.
Escalate potential errors or omissions to the Claims Manager.
Finalise and file claim documentation.
Ensure compliance with operational standards and company procedures.
Perform daily system updates (e.g. diaries and mail).
Handle internal and external complaints promptly.
Ensure timely resolution of queries and complaints.
Provide insurer feedback and reports per timelines.
Facilitate a positive claims experience.
Maintain strong relationships with clients colleagues insurers and service providers.
Update underwriting items postclaim completion.
Maintain records of all client reports.
Customer Service
Deliver quality service and meet functional targets in compliance with policies and standards.
Resolve escalated client complaints and provide feedback.
Align work routines with operational schedules to meet service goals.
Share knowledge and help create new processes to maintain service quality.
Team Collaboration
Align behavior with organizational values and culture.
Share knowledge of products processes and systems with colleagues.
Work collaboratively with the Claims team to meet service expectations.
Technology and Process Improvement
Follow company policies and procedures consistently.
Identify and suggest process improvements.
DOFA confirmation from FSB is required.
Familiarity with Cardinal 360 system is advantageous.
Requirements
Education:
Matric (Grade 12)
Relevant NQF Level 5 qualification
RE5 Examination Level 1
Commercial and Personal Lines Class of Business Certification
Experience:
Minimum 4 years of experience with a claimsettling mandate
At least 5 years of experience in the shortterm insurance industry
Critical Competencies
Knowledge:
Strong understanding of the shortterm insurance industry
Familiarity with financial services industry
Adherence to company policies and procedures
Proficient in Microsoft Office (Word Excel Outlook PowerPoint)
Knowledge of FICA and POPIA regulations
Skills:
Team collaboration and support
Multitasking and prioritization
Time management and efficiency
Ability to work independently and in teams
Strong interpersonal and communication skills
Excellent planning and organization
Attributes:
Analytical and logical thinking
Fast and proactive worker
Professional and diplomatic
Ethical and reliable
Resilient in highpressure environments
Positive and solutionsfocused
Benefits
Marketrelated salary
Contact Hire Resolve for your next careerchanging move today
- Apply for this role today contact Gustav Vogel at Hire Resolve or on LinkedIn
- You can also visit the Hire Resolve website: or email us your CV:
- Please use Senior Claims Handler as your subject line when applying via email
We will contact you telephonically in 3 days should you be suitable for this vacancy. If you are not suitable we will put your CV on file and contact you regarding any future vacancies that arise
Package & Remuneration
About Us
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Required Experience:
Senior IC
Employment Type
Full-Time
