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Johannesburg: Claims Specialist posted by WatersEdge Solutions

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Job Description

About the Role

We are seeking a dedicated and detail-oriented Claims Specialist to join our growing team. This role is essential in delivering a seamless, client-centric claims experience within the funeral and insurance space.

Key Responsibilities

  • Validate all registered claims, ensuring accuracy, completeness, and compliance with policy terms.
  • Prepare and reconcile validated claims for payment.
  • Ensure high levels of customer service, offering support and guidance to clients on claim queries.
  • Liaise with Claims Assessors, Supervisors, and Managers to resolve any discrepancies.
  • Meet required production and quality benchmarks as set by management.
  • Prepare and maintain daily claims metrics and reports.
  • Assist in fraud detection and investigations where required.
  • Conduct validations on Dionysus and follow standard operating procedures.
  • Contribute to ongoing training and upskilling within the team.
  • Ensure cross-functional collaboration with other departments on client claims.
  • Take ownership of the validation process and escalate issues as necessary.

Requirements

  • Matric / NQF 4 minimum.
  • 35 years of experience in Claims Assessment or Claims Validation is essential.
  • Computer literate with strong working knowledge of Microsoft Office and Outlook.
  • Experience working on Dionysus or similar claims processing platforms is an advantage.
  • Strong communication skills; able to communicate effectively in English, Afrikaans, Zulu or Setswana (additional languages such as Xhosa, Tsonga, and Venda are a bonus).
  • Client-service driven with high attention to detail.
  • Strong interpersonal and problem-solving skills.
  • Team player who is punctual, honest, compassionate, and committed.
  • Willingness to work extra hours/overtime when required.
  • Ability to thrive in a fast-paced, process-driven environment.

Qualifications

  • Matric / NQF 4

Salary & Benefits

Market-related salary based on experience. Performance-based annual bonus. Subsidised Life and Disability Cover. Funeral Cover. Opportunity to be part of a mission-driven team that delivers real impact to South Africans.

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How to Apply

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

About Other Finance/Accounting Jobs in Gauteng

The finance and accounting sector is a significant contributor to the economy of Gauteng, South Africa, providing numerous opportunities for professionals looking to advance their careers. With major financial institutions, banks, and multinational corporations based in the province, there is a high demand for skilled finance and accounting professionals.

Salary ranges in Gauteng are generally in line with national averages, but can vary depending on factors such as industry, company size, and level of experience. According to recent job postings, average salary ranges for finance and accounting positions in Gauteng include:

R250 000 – R350 000 per annum for junior finance professionals
R400 000 – R600 000 per annum for experienced accountants
R700 000 – R1 200 000 per annum for senior finance managers

Key skills required for success in the finance and accounting sector in Gauteng include:

Financial planning and analysis
Accounting standards and compliance (e.g. IFRS)
Data analytics and reporting
Communication and interpersonal skills
Budgeting and forecasting
Risk management
Business acumen and strategic thinking

Major employers in the finance and accounting sector in Gauteng include:

Standard Bank, one of South Africa’s largest banks, with its headquarters located in Sandton, Johannesburg.
Multinational corporations such as IBM, which has a significant presence in the province, and Unilever, a leading consumer goods company.
The Johannesburg Stock Exchange (JSE), which is also based in the province and provides opportunities for finance professionals to work in investment banking and stockbroking.

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Career growth opportunities are available in the finance and accounting sector in Gauteng, with many companies investing in training and development programs to support their employees’ career progression. Senior finance managers can move into executive roles, while experienced accountants can take on leadership positions or start their own businesses. Additionally, the JSE offers a range of training programs and certifications for finance professionals, such as the Certified Financial Analyst (CFA) program.

Overall, the finance and accounting sector in Gauteng presents numerous opportunities for career advancement and professional growth, with a high demand for skilled professionals and competitive salary ranges.


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



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