purpose of the Claims Specialist's role is to validate and administrate a client's claim following a fortuitous fortuitous event. The claims specialist will be responsible for various Non-Motor Claims. Claims settlement determinations in accordance with Standard Operating Procedure, claims guidelines, the specialist own mandate, and the experience in claims validations and settlement Exposure to short term insurance claims administration
(credits and/or full qualification)
Reference: PTA001415-ZS-1 Junior Claims Consultant Our client, a provider of short – term commercial currently on the lookout for an on the ball Junior Claims Consultant that will be based in Central Johannesburg RE5. Minimum of 5 years of claims experience. Experience with relevant Claims Systems (Cardinal 360, CIMS experience. Roles and Responsibilities: Claims Processing: Register all claims promptly within 2 hours and refer strictly to mandated procedures. Quickly appoint assessors or loss adjusters when necessary. Capture payments
Job Title: FNOL Claims Consultant
Company Overview: Join
dedicated FNOL (First Notice of Loss) Claims Consultant to join their Claims Department.
Position
Overview: As an FNOL Claims Consultant, you will play a crucial role in our client's claims process by efficiently
assessing claims, and providing exceptional customer service to ensure a smooth and timely claims experience
investigations to assess the validity and coverage of claims.
Job Title: Marine Claims Specialist
Company Overview: Join
skilled and experienced Marine Claims Specialist to join their Claims Department.
Position
Overview: As a Marine Claims Specialist, you will play a crucial role in our client's Claims Department by
by managing marine insurance claims from initial reporting to resolution. You will work closely with policyholders
stakeholders to assess, investigate, and settle marine claims while ensuring compliance with company policies
Reference: JHB000129-TK-1 FNOL Claims Consultant Job Title: FNOL Claims Consultant Company Overview: Join Loss) Claims Consultant to join their Claims Department. Position Overview: As an FNOL Claims Consultant Consultant, you will play a crucial role in our client's claims process by efficiently handling first notice of assessing claims, and providing exceptional customer service to ensure a smooth and timely claims experience investigations to assess the validity and coverage of claims. Communicate with policyholders, agents, and third
IN BOTH GROUP AND INDIVIDUAL LIFE CLAIMS IS ESSENTIAL Evaluate claims forms and supporting documentation Compare the reorts to our exisitng claims criteria to establish if claim is payable Decide on levels of provisions Writing claims assessment standards/policies Auditing/QA of work done by peers Deliver claims payment required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals Experience in both group and life individual life claims is essential Sound Business and Operational knowledge
IN BOTH GROUP AND INDIVIDUAL LIFE CLAIMS IS ESSENTIAL Evaluate claims forms and supporting documentation Compare the reorts to our exisitng claims criteria to establish if claim is payable Decide on levels of provisions Writing claims assessment standards/policies Auditing/QA of work done by peers Deliver claims payment required to evaluate claims Liase with relevant re-insurers to determine validity of claims and get their approvals Experience in both group and life individual life claims is essential Sound Business and Operational knowledge
monitor all claim related activities, which include the complete claim processing cycle of all claims, all claim claim related enquiries or complaints including Pension Fund Adjudicator and FSCA complaints / enquiries enquiries.