Motor Claims Consultant
Motor Claims Consultant
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Salary Not Disclosed
1 Vacancy
Job Description
Job Classification
Job Requisition: 141356
TA Specialist: Refilwe Falatsi
Closing Date: 13 August 2025
Location: 135 Rivonia Campus Sandown
Cluster: Personal and Private Banking Nedbank Insurance Operations - Claims
Please Note: Preference will be given to applicants from Underrepresented Groups
FAIS Affected
Job Purpose
Job Responsibilities
Assess and process motor insurance claims in accordance with policy terms and regulatory requirements.
Communicate effectively with policyholders and service providers to gather necessary documentation and clarify claim details.
Investigate claim circumstances validate coverage and determine liability.
Ensure accurate and timely claim updates and closure within system guidelines.
Collaborate with internal teams (e.g. underwriting legal finance) to resolve complex claims and escalate where necessary.
Approve rejection letters and ensure they are aligned with policy terms regulatory standards and internal guidelines.
Review and approve claims that exceed the TPA mandate ensuring accuracy fairness and cost control.
Provide oversight and support to the TPA ensuring escalated claims are handled appropriately and within agreed service levels. Approve rejection letters and ensure they are aligned with policy terms regulatory standards and internal guidelines.
Review and approve claims that exceed the TPA mandate ensuring accuracy fairness and cost control.
Provide oversight and support to the TPA ensuring escalated claims are handled appropriately and within agreed service levels.
Maintain high standards of customer service ensuring empathy and professionalism in all interactions.
Monitor and manage claims turnaround times (TAT) to meet service level agreements.
Identify and flag potential fraud indicators and refer to the appropriate department for further investigation.
Provide feedback and insights on claim trends rejection reasons and process improvements.
Manage claims-related costs by applying cost containment strategies negotiating with service providers and ensuring alignment with policy limits and guidelines.
Limit financial leakages and losses through accurate claim assessments settlements and adherence to policy terms.
Stay updated on product knowledge policy changes and industry regulations.
People Specification
Essential Qualifications - NQF Level
Matric / Grade 12 / National Senior Certificate
Relevant NQF Level 5 Qualification (Higher Certificate in Short Term Insurance)
RE5 Examination Level 1 (Completed)
Essential Certifications
- FAIS Regulatory Examination 1 qualification
Preferred Certifications
Personal Lines: Class of Business Certified
Minimum Experience Level
3- 5 years Short Term Insurance
Minimum 2 years experience in a motor claims role with settlement mandate.
At least 5 years experience in the Short-Term Insurance industry.
In-depth knowledge of the Short-Term Insurance industry.
Strong understanding of financial services and regulatory frameworks (FICA POPIA).
Proficient in Microsoft Office (Word Excel Outlook PowerPoint).
Behavioural Competencies
- Earning Trust
- Collaborating
- Customer Focus
- Decision Making
- Initiating Action
- Work Standards
- Managing Work
Please contact the Nedbank Recruiting Team at
Required Experience:
Contract
Employment Type
Full Time
