23 Claims Investigation jobs in South Africa
Senior Claims Investigation Manager
Posted 19 days ago
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Job Description
Our client in the Insurance / Financial Services industry is currently looking to employ a Senior Claims Investigation Manager based in Bryanston (Johannesburg).
A wonderful career opportunity awaits you.
Requirements:
- Completed Tertiary Qualification.
- Minimum of 5 to 10 years' experience in a similar or related role.
- Previous people management experience (Leadership Roles) - advantageous.
- Registration as a representative with the FSCA in terms of the FAIS Act – advantageous.
- Strong proficiency in Microsoft Excel and Internet navigation.
- Manage a high volume of claim reviews in a fast-paced environment.
- Ability to teach and coach junior team members.
- Time management.
- Results driven - history of consistently meeting targets.
- Ability to work under pressure.
- Analytical, negotiation, decision-making and problem-solving skills.
- Effective communication skills, both oral and written.
- Ability to work independently and as a member of a team.
- Strong process improvement and data analytics skills.
- Enjoy working within a team environment.
Responsibilities and expectations include but are not limited to:
- Technical expert whose primary focus is driving a team of 5 desktop investigators (technicians) to achieve the required results.
- Oversight and management of the team.
- Conduct regular reviews of claims individually and collaboratively in teams to evaluate the claim process and investigation techniques.
- Ensure team members achieve set targets and maintain quality standards through monitoring and course correction of daily performance.
- Provide effective leadership to create a team committed to the overall vision of the company.
- Perform performance management, offering continuous feedback to employees on strengths and development areas.
- Responsible for capacity planning of the team.
- Motivate and inspire team members, fostering consistent high performance.
- Recommend and implement best practices to ensure adherence to company policies and insurance industry regulations throughout the claims investigation process.
- Maintain a strong professional knowledge of claims regulatory and legal environments.
- Serve as a claims technical resource, providing guidance and support to desktop claim investigators.
- Coach or train less experienced desktop claim investigators and contribute to shaping training for the claims teams.
- Provide insights and enhancements to the claims process.
Monthly
#J-18808-LjbffrSenior claims investigation manager
Posted today
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Insurance Claims Consultant
Posted 21 days ago
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Job Description
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
Insurance claims consultant
Posted today
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Short-Term Insurance Claims Administrator
Posted 19 days ago
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Job Description
- 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
Short-term insurance claims administrator
Posted today
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Insurance Claims Administrator East London, South Africa
Posted 19 days ago
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Job Description
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
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Insurance claims administrator east london, south africa
Posted today
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Commercial Insurance Claims Consultant Cape Town market related
Posted 19 days ago
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Job Description
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
Commercial Insurance Claims Consultant Cape Town market related
Posted 19 days ago
Job Viewed
Job Description
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