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Gauteng: Binder and Outsourced Claims Specialist posted by Manpower Group

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Job Description

Key Performance Areas:

  • Validation of claims in line with Company guidelines and Standard Operating Procedures
  • Management of Large loss and complex claims
  • Appointment of necessary providers
  • Authorizations\Settlement of claims
  • Rejection of claims
  • Processing payments within the turn-around time
  • Payment confirmations to Brokers and Suppliers
  • Assisting clients and brokers over the phone / email with claims and queries
  • Relationship Management with allocated brokers, including training of brokers with binder and outsource
    agreements
  • Oversight and management of binder and outsource brokers
  • Complaints handling and resolution
  • Liaising with Service Providers
  • Liaising with brokers and clients

Requirements:

  • Matric Certificate – essential
  • Regulatory Exam
  • Further Education and Training Certificate in Short-Term Insurance – NQF 4, and/ or a Higher Certificate in
    Short term Insurance – NQF 5
  • Class of Business certification (Personal Lines & Commercial Lines) – Highly advantageous
  • Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised.
  •  Marine and Engineering knowledge – Highly advantageous
  • Computer literate – Microsoft Word, Excel, and Outlook
  • Experience in Commercial and Personal lines
  • At least 5-years’ relevant work experience in claims validations and settlement (both in Motor and NonMotor claims, as well as in both Personal Lines and Commercial Lines classes of business)
  • Work experience within a licensed insurer, or Underwriting Manager.
  • Experienced in making claims settlement determinations with mandate exceeding R250 000.00
  • Sound technical knowledge and understanding of relevant short term insurance policy wording

Please note that only shortlisted candidates will be contacted

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How to Apply

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

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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