8 Claims Handler jobs in Cape Town

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1. Step 1: Our vacancies are advertised between 3-5 days depending on the market availability of the skills required.
2. Step 2: Could take a couple of days depending on the volume and the screening process, which varies according to the complexity of the role.
3. Step 3: Long listed candidates are sent to the hiring manager to review and consider for the next stage of the selection process.
4. Telephonic Screening Step 4: Candidates may be contacted for a short screening interview to get to know them better and to ask any clarity-seeking questions.
5. Your Interview Step 5: We use a competency interview model. Interview dates will be confirmed via e-mail. During the interview, you will be introduced to the panel and the process will be explained. Remain calm and sell yourself. This is our opportunity to match your skills to the job. You only get one shot!
6. Assessment Step 6: Should we like what you bring to the table, depending on the job you are being considered for, you may be invited to complete a psychometric assessment. Further employment checks are conducted to ensure the validity of your credentials.
7. Step 7: Prior to an offer being made, there may be a second interview to meet with the Head of Department. Should there be a need for any further interviews, be sure to bring the same charm that got you through your first interview.
8. Onboarding Step 8: You made it. Here we ensure we receive all your documents to get you onto our payroll system.

There is not just one way to be successful at Santam, nor is there one way to interview with us. Interviewing is a two-way process - it helps us learn about you, and it helps you learn about us, our people, and what you could do here.

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About The Client

They are a Medical Assistance branch of a global company providing support for various International insurance companies and their travelers.

Our client is currently looking for German speakers to fulfil the position of Claims Handler. Join them on a full-time basis, working in an international office environment on various projects. This role offers a collaborative and innovative workspace where your expertise and dedication can shine.

• Dynamic Workplace: A fast-paced, energetic environment that encourages innovation and collaboration.
• Career Growth: Training based on international professional know-how, systems, and various training platforms.
• Impactful Work: Play a crucial role in their mission to provide exceptional claims handling and customer service.

• Basic Salary: R19,000.00 - R23,000 per month, depending on experience and proficiency in the German Language.
• Medical Aid Cover: For employee + 2 minor dependents (paid by the company).
• Retirement Annuity Benefit: 10% of basic salary (paid by the company).
• Performance Bonus: Based on individual and company performance.
• Additional Benefits: Free basement parking.
• Vacation: 21 days’ vacation per year.

• Language Skills: Professional fluency in German (level B2 or higher) and proficiency in English.
• Experience: Previous work experience in Medical Assistance, Insurances, Claims Handling, or Tourism is advantageous.
• Qualifications: Matric certificate or higher.
• Computer Skills: Strong user skills in Microsoft Office tools.

• Pro-active and able to perform well under pressure.
• Excellent attention to detail.
• Flexible and open-minded to ongoing changes and training.
• Strong communication and customer service skills.
• Ability to work efficiently in a multilingual and multicultural team.

• Handling claims services from start to end, including data entry and invoice assessment.
• Replying to incoming email enquiries and processing claims for medical and travel insurance.
• Providing friendly and outstanding customer service.
• Responding to enquiries in a timely and efficient manner.

If you are a proactive individual with a strong attention to detail and a commitment to delivering high-quality service, they want to hear from you. Apply now to become their team in Cape Town and make a significant impact in the insurance and assistance industry.

Requirements:

• Grade 12
• Clear criminal and credit record.
• Advantageous:
• Knowledge of microinsurance claims and complaints regulations,
• Knowledge of Treating Customers Fairly principles,
• Additional South African Languages,
• Knowledge of Lewis Stores processes and procedures.

Ideal Experience:

• 3 years + experience in a managerial position (incl assistant management position)
• Claims and Complaints handling.

Competencies:

• Proficient in English
• Computer literate in MS Office (Word, Outlook and Excel)
• Proficient communication skills verbally and written
• Able to manage a team effectively
• Attention to detail
• Self-motivated, committed and a driver of performance
• Disciplined in meeting deadlines and agreed targets

Responsibilities:

Insurance claims – MANAGE CLAIMS ASSESSMENT team, REVIEW ASSESSMENT, assist & REPORT:

• Reporting into the Insurance Claims Manager.
• A team of Customer Protection Insurance claims clerks will report into you.
• Review and approve the assessment of authorised, declined or queried Customer Protection Insurance claims.
• Monitor daily claims reports and assist claims clerks to resolve difficult claims that are not being finalised.
• Ensure that the 48-hour SLA report and Pending Preview report is cleared daily by the claims team.
• Ensure that the Pending Complete report is followed-up and cleared daily and where required follow-up with Lewis Stores Branch Accounts regarding outstanding journals.
• Ensure that the Stock Replacement report is followed-up daily and escalate goods replacements with Lewis Stores senior management where required.
• Monitor the Claims Indexing clerk's workload through the incoming claims mailbox and Papertrail indexing queue and ensure that emails and incoming documents are cleared daily.
• Manage and guide the claims clerks daily to finalise claim assessments efficiently when dealing with queries, follow-up, goods replacements etc. as the claims team works with customers lodging a claim, branch operational staff, and/or head office branch accounts.
• Monitor claims follow-up processing ensuring approved processes and procedures are followed.
• Ensure that claim escalations or disputes are referred to Monarch senior management in a timely manner.
• Prepare and attend daily/weekly claims meetings with your claims team and management.
• Monitor claims team in line with the criteria documented in the monthly / quarterly staff incentive letters.
• Assist senior management with queries and / or follow-up requests from the insurance regulator (PA / FSCA), the National Finance Ombuds Scheme, South African Insurance Association (SAIA), South African Special Risks Insurance Association (SASRIA) etc.
• Assist with providing information on claims queries received from e.g.: the Lewis Stores finance department, Lewis Stores Internal Audit department or management.

STAFF MANAGEMENT – CLAIMS

• Monitor daily attendance and report to Insurance Claims Manager incorrect clock-ins where required.
• Monitor and request overtime and leave requests with the Insurance Claims Manager.
• Assist the Insurance Claims Manager to conduct interviews for claim clerk vacancies when necessary.
• Attend to daily staffing needs and queries.
• Assist with further developments/improvements where necessary.
• Identify areas of training needs.

Job Type: Full-time

Work Location: In person

We’re seeking a detail-oriented and customer focused Short-term Insurance Administrator with a minimum of 3 years’ experience. The ideal candidate will have a solid understanding of short-term insurance products, policies and administrative processes, as well as strong client service skills. This is a 4-month maternity cover contract based in Pinelands, Cape Town.

Requirements :

• 3 years’ experience
• FAIS compliant
• Strong knowledge of short-term insurance products and legislation
• Excellent communication and customer service skills
• High attention to detail and accuracy
• Able to take up 4-month maternity contract

Bonuses :

Benefits :

Responsibilities :

Forward a detailed CV immediately so as to ensure you don’t miss out on this amazing opportunity!

Should you not hear from us within 10 working days, please consider your application to have been unsuccessful. We will keep your details for future placements – unless you advise that you wish for us to discard your details.

Are you a seasoned Short-term Insurance Claims Administrator with a passion for precision and client service? We’re looking for a dynamic individual to step into a 4-month maternity cover role at a leading short-term insurance provider.

Location: Pinelands, Cape Town
Duration: 4-month fixed-term contract
Start Date: Jan 2026 – Apr 2026

Key Requirements:

• Minimum 3 years’ experience in short-term insurance claims administration
• Valid RE5 certification
• NQF Level 5 qualification in insurance or related field
• Strong attention to detail and ability to manage claims efficiently
• Excellent communication and client service skills

Responsibilities:

• Administer and process short-term insurance claims efficiently and accurately
• Liaise with clients, insurers, service providers and internal teams to ensure smooth claims resolution
• Ensure compliance with regulatory and company standards
• Maintain accurate records and documentation
• Support the sales team with policy updates and client queries

If you're ready to hit the ground running and make an impact, we’d love to hear from you!

Should you not hear from us within 10 working days, please consider your application to have been unsuccessful. We will keep your details for future placements – unless you advise that you wish for us to discard your details.

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

NOTE: This is a hybrid position - 2 days in the office and 3 days at home

Our client, an international global life and health reinsurance company, is urgently looking for a Claims Manager to be responsible for the day-to-day management of the claims administration team. This role ensures that the South Africa-based Treaty and Facultative business is administered appropriately and accurately in line with treaty specifications.

In order to be considered the following is required:

• Bachelors degree / qualification would be advantageous
• Minimum of 5 years previous experience in a team leader role
• 5 years experience in the life insurance industry
• Proven track record of coaching, developing, and mentoring direct reports
• Strong IT skills with a good understanding of MS Excel
• Superior oral and written communication and presentation skills
• Effective interpersonal skills; ability to interact with employees at all levels and across different departments
• Ability to focus on priorities, targets, and deadlines
• Ability to plan and manage resources within the team, handling several projects at once and delivering them to agreed schedules

Responsibilities:

• Ensure that claims relating to SA business are administered appropriately through the chain of companies, external retro companies, and the International Retro Pool
• Manage the work which includes tracking and reporting on progress
• Document claims processes and procedures, indicating where any variation exists, either by country, system, or client
• Ensure that the company’s claims administration standards and time service requirements are applied to the handling of all business received
• Provide claims administration data for input to accounting records, valuation systems, and regulatory returns
• Ensure claims administration data is provided to retrocession clients, including International Retro Pool, in a timely and accurate manner
• Undertake client audits, assurance reviews, and visits, engaging with Internal Audit to ensure risks are handled/mitigated appropriately
• Seek feedback from other departments who interact with the claims administration team

If you would like to email your CV directly – please send it to

Plus Medical Aid and Provident Fund