Job Description
We are seeking an experienced Portfolio Claims Specialist to join our dynamic insurance team. In this role, you will be responsible for processing, validating, negotiating, and settling a dedicated portfolio of broker-specific motor and non-motor claims across both Personal and Commercial Lines. You will collaborate closely with allocated brokers, providing support, guidance, and coaching to ensure claims are managed within agreed mandates and in compliance with company procedures.
The successful candidate will handle all claims that exceed broker mandates, assist with high-value and complex claims, and ensure accurate processing in accordance with all regulatory and operational guidelines.
Key Responsibilities
- Process, validate, and settle individual and broker-submitted motor and non-motor claims for Personal and Commercial policies
- Negotiate and facilitate payments of claims, including those above the brokers authority/mandate
- Provide coaching, training, and support to binder and outsource brokers to strengthen claims validation and settlement processes
- Review, action, and authorize claims exceeding brokers mandates in line with company procedures
- Assist with complex and high-value claim assessments for both Motor and Non-Motor portfolios
- Manage and process all liability claims in compliance with the Liability SOP and guidelines
- Collaborate with the Portfolio Claims Manager on litigation matters and contribute expertise to dispute and litigation resolution
- Maintain accurate records and ensure claims handling is fully compliant with company and regulatory standards
Minimum Requirements
- Matric Certificate (compulsory)
- RE5 Certification (Regulatory Examination)
- Higher Certificate in Short Term Insurance NQF 5 or Full Qualification NQF 4
- Class of Business Certification: Personal Lines & Commercial Lines
- FAIS Fit and Proper compliant with a proven track record of working independently
- Minimum 5 years experience in claims validation and settlements within Motor & Non-Motor (Personal & Commercial Lines)
- Demonstrated experience in liability and litigation matters
- Experience working within a licensed insurer
- Experience settling claims with mandates exceeding R50,000
- Proficient in Microsoft Office Suite (Word, Excel, Outlook)
- Excellent negotiation, communication, and interpersonal skills
Desired Skills & Competencies
- Strong analytical and problem-solving skills
- Ability to manage multiple priorities and portfolios simultaneously
- Solution-oriented with excellent attention to detail
- Confident decision-maker
- Effective relationship builder with brokers and internal teams
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.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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