15 Claims Adjusting jobs in South Africa

Senior Short Term Insurance Claims Handler with minimum 3 years’ Personal Lines and Commercial Claims experience in senior capacity and with the required NQF4 and RE5 Certifications, required to join this Broker Firm based in Bellville, Cape Town.

Minimum requirements:

• Matric essential
• NQF4 Short Term Insurance minimum
• RE5 essential
• Minimum 3 years’ claims handling experience in Personal Lines and Commercial Insurance in a senior role required
• Flexi, Cardinal and or CIMS 360 preferred

Duties and Responsibilities:

• Oversee negotiation and settlement of claims across Personal & Commercial lines
• Claims registration
• Claims management
• Negotiate settlements
• Communication with all stakeholders
• Complaints
• Evaluate and improve claims processes

About the Company:

Pacific International Insurance is a licensed general insurance provider, offering reliable coverage for policyholders across Australia and New Zealand. Our diverse range of personal and business insurance solutions includes motor vehicle, pet, mobility equipment, professional indemnity, and general liability insurance.

About the Product:

PD Insurance AU offers award-winning, affordable, and high-value pet and car insurance coverage.

The Opportunity:

Are you a customer-focused, energetic, and passionate individual? We are on the hunt for a Claims Consultant to join our vibrant call centre team in George. This is your chance to make a real impact and be part of a dynamic team!

What’s the overall purpose of this position?

In exchange, we will provide you with a fun and collaborative team environment, a supportive management system and the motivation to reach your full potential! ?

Some of the benefits:

• Competitive basic monthly salary with company benefits and contributions.
• Employee loyalty and long service rewards.
• Professional company branded gear.
• Health benefits: exciting offers from our Lifestyle department to keep you fit and healthy!
• On-site coffee shop and restaurant dedicated to our employees.
• Training and development: all newbies undergo a training programme to equip you with the knowledge and tools to thrive in your role.
• Working hours that provide you with more flexibility during the day.
• Company transport available to the office.

Working hours:

• Mondays to Fridays: 03h30 – 11h00 AM OR 00h00 – 07h30 AM (2 rotational shifts)

These working hours accommodates our clients and colleagues in Australia and New Zealand. Providing you with more flexibility during your day!




We would love to receive your application if you meet the following requirements:

• Completed Grade 12 / National Senior Certificate.
• Excellent written and verbal communication skills in English. You will need a clear English accent and be able to understand the whacky Aussie and New Zealand accents!
• Intermediate level computer skills.
• Prior experience in a customer service orientated position.
• Strong attention to detail, organisational and administration skills.
• Willing to work “night-shift” hours (to accommodate the Australian and New Zealand operating hours of clients and colleagues).
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Other skills that would be advantageous:

• Previous experience handling insurance claims or working in a financial services institution.
• Skills in negotiation, persuasion and investigation with customers and service providers.
• Sound interpersonal skills, building rapport with customers and service providers.
• Skilled in asking probing questions and gaining detailed information to support claims handling.

• Make and receive calls to clients
• Gather and follow up all info and documents required to register claims
• Advise on claims under what section covered on policies
• Interact and follow up with Insurers
• Involvement with claims intermediary service (Client satisfaction)
• Follow claims through to Agreement of Loss and signed by client
• Use logic and intellect to ensure customers are treated fairly
• Build trust-based relationships with clients

Key Skills and Competencies:

• Good verbal and written communication skills at all levels
• Computer literate in Microsoft Office and internet
• Self-discipline and time management
• Punctuality

Candidates must have the following qualifications:

• Grade 12

Competence:

• Experience (1+ Years in industry)
• Class of Business completed for STI Personal and Commercial lines
• Operational Ability
• Product Specific Training

The following additional factors will be to your (Candidates) advantage:

• Experience on SANTAM online system
• Product specific training completed with main players in insurance industry: Santam, Old Mutual, Momentum (Previously Alexander Forbes), Bryte et

Main characteristics / strong points for candidates:

• Good verbal- and written communication skills at all levels
• Computer literate in Microsoft office and internet
• Self-discipline and time management
• Punctuality
• Make and receive calls to clients
• Gathering and follow up all info and documents required to register claim.
• Advise on claims under what section covered on policies.
• Interaction and follow up with Insurers
• Involvement with claims intermediary service (Client satisfied).
• Follow claim through to Agreement of Loss and signed by client.
• Logic and intellect to ensure customers treated fairly.
• Build relationships (Trust) with clients

Claims Administration
Administer complete claims process according to defined claims procedures until claims are settled.
Apply policy terms and conditions.
Make assessment of claims validity and estimate value and administer mandated claims.
Act as intermediary between insurer and client and timeously relay communication, requests and documentation.
Engage with insurers regarding recoveries, diarise follow-ups and keep clients informed.
Ensure productivity targets are met.
Contribute towards and ensure continuous improvement in own and team performance.
Adhere to company mandates.
Participate and contribute in ad hoc projects.
Report any suspected fraud, misrepresentation and/or dishonesty.
Keep accurate record of own activities.

RE 5 A MUST

MATRIC A MUST

CREDITS WOULD BE GREAT

Salary: R20 000 - R25 000

• HR Services, Recruitment & Selection

Claims Administration
Administer complete claims process according to defined claims procedures until claims are settled.
Apply policy terms and conditions.
Make assessment of claims validity and estimate value and administer mandated claims.
Act as intermediary between insurer and client and timeously relay communication, requests and documentation.
Engage with insurers regarding recoveries, diarise follow-ups and keep clients informed.
Ensure productivity targets are met.
Contribute towards and ensure continuous improvement in own and team performance.
Adhere to company mandates.
Participate and contribute in ad hoc projects.
Report any suspected fraud, misrepresentation and/or dishonesty.
Keep accurate record of own activities.

RE 5 A MUST

MATRIC A MUST

CREDITS WOULD BE GREAT

Salary: R20 000 - R25 000

• HR Services, Recruitment & Selection

Personal Lines Claims Administrator : R18K – R30k CTC (Qualification & Experience Dependent) – Based in Waterkloof

Join a dynamic insurance team as a Personal Lines Claims Administrator . You’ll be responsible for end-to-end claims processing, client communication, and documentation. Strong admin and time management skills are essential.

Key Responsibilities :

• Administer and manage personal lines insurance claims
• Liaise with clients, assessors, and service providers
• Ensure accurate documentation and compliance
• Provide professional customer service throughout the claims process

Requirements :

• Matric
• RE5 qualification
• DOFA
• Class of Business certification (Personal & Commercial Lines)
• Additional qualifications (e.g., BCom, BA) an advantage

Send your CV and supporting documents to: