Claims Administrator
Posted on 2025-03-10
Employer | Hire Resolve |
---|---|
Salary | 0 |
Category | Finance Accounting |
Location | Kwazulu Natal / Kloof |
Job Summary
Hire Resolve is seeking a skilled and detail-oriented Claims Administrator for our esteemed client, a well-established insurance brokerage based in Kloof, KwaZulu-Natal. Our client, a Lloyds of London-approved Open Market Correspondent, specializes in providing tailored insurance solutions and is looking for a professional who can efficiently manage claims while delivering top-tier client service.
Responsibilities
- End-to-end management of short-term insurance claims across multiple lines (commercial, personal, liability, marine, etc.).
- Ensure accurate claims registration, validation, and assessment in accordance with policy terms and regulatory requirements.
- Liaise with insurers, underwriters, and loss adjusters to facilitate claims processing and settlement.
- Monitor claims progress and proactively follow up to ensure timely resolution.
- Maintain accurate and up-to-date claim records on internal systems.
- Serve as the primary contact for clients throughout the claims process, ensuring a smooth and supportive experience.
- Negotiate with insurers to secure the best possible outcome for clients.
- Provide clear, concise communication to clients regarding claim decisions, next steps, and expectations.
- Identify and escalate any potential fraudulent claims for investigation.
- Ensure all claims processes align with FAIS, FICA, and other relevant insurance regulations.
- Prepare and submit claims reports for internal use and compliance audits.
- Stay updated on legislative changes affecting insurance claims and communicate relevant updates to the team.
- Assist in risk assessment and claims trend analysis to improve underwriting processes.
Requirements
- Fully FAIS compliant (meeting the requirements of the Financial Advisory and Intermediary Services Act).
- RE5 qualification (Regulatory Exam for Representatives).
- A relevant insurance or risk management qualification (e.g., Higher Certificate in Short-Term Insurance, NQF Level 4 or higher) will be advantageous.
- Minimum 2-5 years of experience in short-term insurance claims administration.
- Strong knowledge of short-term insurance policies and claims handling procedures.
- Familiarity with Lloyds of London claims processes (advantageous but not essential).
- Proficiency in insurance claims management systems and MS Office Suite (Word, Excel, Outlook).
- Excellent attention to detail and accuracy in data processing.
- Strong problem-solving, negotiation, and dispute resolution skills.
- Ability to work independently and manage multiple claims simultaneously.
- Exceptional verbal and written communication skills.
- Customer-focused with a high level of professionalism and empathy.
Benefits
- Market-related salary
-
Contact Hire Resolve for your next career-changing move today
- Apply for this role today, contact Gustav Vogel at Hire Resolve or on LinkedIn
- You can also visit the Hire Resolve website:
Click Go Apply to apply online!
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