A leading organisation within the insurance sector is seeking a Short-Term Claims Consultant to manage and process short-term insurance claims efficiently and accurately. The successful candidate will deliver a high standard of client service while ensuring compliance with industry regulations and internal policies. This role plays a key part in maintaining strong client relationships through professional, empathetic, and solution-focused interactions. Key Responsibilities Manage the full claims lifecycle, including registration, assessment, validation, and settlement Ensure claims are processed within agreed service level agreements (SLAs) Accurately capture and update claims information within internal systems Maintain compliance with all regulatory and operational requirements Client Engagement Communicate with clients to obtain required information and provide updates on claims Explain claims processes clearly and manage expectations Handle queries and concerns professionally, ensuring a positive client experience Escalate complex or disputed claims when necessary Assessment & Investigation Review and verify claims documentation to determine validity Liaise with external service providers (e.g., assessors, repairers) for accurate evaluations Identify and report any suspicious or potentially fraudulent claims Ensure accurate costing and assessment of damages Collaboration Work closely with internal teams and external partners to ensure smooth claims resolution Contribute to process improvements and team performance initiatives Compliance & Reporting Adhere to relevant regulations, company policies, and Treating Customers Fairly (TCF) principles Prepare and submit reports as required by management Minimum Requirements and Qualifications Matric (Grade 12) Relevant regulatory qualification (e.g., RE5) Experience Minimum 2 years’ experience in short-term insurance claims (non-motor – building & contents preferred) Experience within the insurance or financial services industry is essential Skills & Competencies Strong understanding of short-term insurance products and claims processes Excellent communication and interpersonal skills Good working knowledge of Microsoft Office and claims systems High attention to detail and accuracy Strong analytical and problem-solving skills Ability to work under pressure and manage multiple priorities Customer-focused with a professional and empathetic approach #J-18808-Ljbffr
Short Terms Claims Consultant
DEKA MINAS (PTY) LTD
pretoria, pretoria
Published 26 days ago
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