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Durban: Claims Consultant

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Job Description

Leading Financial Services Provider is seeking a Claims Consultant to join their team in KwaZulu-Natal. In this role, you will be responsible for managing and resolving homeowners’ claims, while delivering exceptional customer service and ensuring all claims are compliant with all regulatory requirements.  Requirements: Minimum Matric (Grade 12) Minimum 4 years’ experience with short-term insurance Homeowners’ claims experience highly advantageous Currently residing in uMhlanga  FETC: Short-Term Insurance and RE5 Certifications would be highly preferred  Kindly note that if you have not received any feedback 2 weeks after your application, please consider your application unsuccessful.



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Durban: Claims Consultant

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Job Description

The successful candidate will be responsible for delivering exceptional customer experiences by efficiently managing homeowners and buildings insurance claims from start to finish. This role balances timely and fair claim resolution with risk management, compliance, and service excellence, ensuring alignment with regulatory requirements and company standards. Claims Management & Technical Delivery Assess, authorize, and resolve homeowners claims within mandate, productivity targets, and turnaround times Apply policy wording accurately to ensure fair and compliant claim outcomes Manage claim approvals, rejections, and settlements in line with regulatory requirements Appoint and manage relationships with panel-approved experts, ensuring correct application of building tariffs and rates Analyze reports and quotations to support prompt, informed decision-making Maintain accurate claim records using claims management systems and digital tools Customer Experience & Communication Deliver clear, professional, and empathetic communication throughout the claims journey Handle complaints and difficult customer interactions calmly, assertively, and fairly Explain technical claim outcomes to customers and stakeholders in a clear and accessible manner Risk Awareness & Investigation Analyze claims history and reported incidents to identify trends, risks, or anomalies Escalate suspicious or potentially fraudulent activity in line with internal processes Engage constructively with loss adjusters and technical specialists to debate and resolve complex claims Stakeholder Engagement Build and maintain strong working relationships across internal and external stakeholders Collaborate daily with Finance, Customer Contact Centres, Policy Administration, Procurement, and Management Engage with service providers including loss adjusters, engineers, quantity surveyors, and forensic specialists Support internal and external audit processes as required Education Profile Matric (Grade 12) Minimum 4 years short-term insurance experience, preferably in homeowners claims Strong ability to interpret technical reports and communicate outcomes accurately to customers FETC: Short-Term Insurance (NQF Level 4) RE5 Strong technical claims judgement and problem-solving ability Excellent verbal and written communication skills Ability to work under pressure, meet deadlines, and manage high workloads Ethical, decisive, confident, fair, and detail-oriented Strong sense of accountability and teamwork Short-term insurance and claims processing expertise Proficient in Microsoft Excel, Word, and Outlook, Google Maps Experience navigating claims management systems Ability to analyze and communicate technical information effectively Building claims experience. Experience in making decisions on whether to approve or decline a claim based on the evidence provided.
View Job  Durban: Bookkeeper posted by Profile Personnel



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