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Pretoria: Claims Handler: Short Term Insurance posted by CompitantCandidates

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Job Description

About the Role

CompitantCandidates is seeking a skilled Claims Handler to join our team on a short-term basis. As a Claims Handler, you will be responsible for managing claims, ensuring compliance with policies and procedures, and providing excellent customer service.

Key Responsibilities

  • Receive, review, and register new claims via phone, email, or digital channels.
  • Acknowledge receipt of claims to clients within stipulated turnaround times.
  • Collect all necessary documentation from clients to substantiate claims (e.g., claim forms, supporting evidence, police reports, photographs, invoices).
  • Conduct investigations through interviews, site visits, and consultation with service providers or loss adjusters.
  • Verify the legitimacy and validity of claims.
  • Calculate and agree settlement amounts in line with policy terms, ensuring fairness and compliance.
  • Negotiate settlements with clients, service providers, and, where necessary, legal representatives.
  • Authorise and process payments within designated authority limits.
  • Maintain regular communication with clients throughout the claims process, providing updates and managing expectations.
  • Respond to queries, complaints, and escalations in a timely and professional manner.
  • Identify potential fraudulent activity and escalate cases in line with company procedures.
  • Prepare and submit reports for management, compliance, and regulatory purposes.

Requirements

  • Matric
  • RE 5 Examination Level 1
  • Class of Business: Commercial and Personal Lines
  • NQF 5 in short term insurance
  • At least 5 years short term experience and 4 years within the claims environment

Qualifications

Formal education/certifications not required for this role.

Salary & Benefits

Salary details not specified.

How to Apply

Click the green “Go Apply” button below to apply directly online with the employer.

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About Other Insurance Jobs in Gauteng

The Other Insurance (OI) industry is a significant sector in Gauteng, South Africa, offering a range of career opportunities for professionals with the right skills and experience. Typically, OI roles are in demand across various industries, including financial services, technology, and manufacturing, as companies seek to manage and mitigate risks associated with their operations.

Generally, OI specialists in Gauteng can expect salaries that vary widely depending on factors such as level of experience, company size, and industry sector. While broad salary ranges cannot be provided due to the variable nature of these factors, it is common for experienced OI professionals to earn between R600 000 and R1 200 000 per annum, while entry-level roles may start at around R300 000 to R500 000 per annum. However, salaries can fluctuate depending on individual circumstances.

Common skills required for OI roles in Gauteng include expertise in financial management, risk analysis, data interpretation, communication, and project management. Other essential skills often include proficiency in insurance software, analytical thinking, problem-solving, and the ability to work under pressure. Many OI professionals also hold relevant certifications or degrees in fields such as actuarial science, business administration, or economics.

The financial services sector is a significant employer of OI professionals in Gauteng, with other industries such as technology and manufacturing also commonly hiring for these roles. Other sectors that may employ OI specialists include healthcare, construction, and logistics. In terms of career development, many OI professionals in Gauteng progress to senior roles within their current organisations or move into related fields such as risk management, auditing, or claims handling.

For those seeking a career in OI, it is essential to develop a broad range of skills and experience, often through formal education and training. Many OI professionals in Gauteng have pursued certifications such as the Fellow of the Institute of Actuaries (FIA) or the Chartered Insurance Practitioner (CIP). Building strong relationships with clients, colleagues, and stakeholders is also crucial for success in this field.

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This information provides general career guidance. Actual salaries and requirements vary by employer.



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