Position: Claims Handler
The Claims Handler will play a crucial role in achieving organizational goals by capturing, validating, and administering claims efficiently and accurately. This role involves the processing and costing of claims to ensure fair and prompt resolution for clients.
Requirements:
- Gr12;
- Previous claims handling exp in a short term insurance environment.
Key Responsibilities
Claims Administration
- Capture and validate detailed, accurate information related to claims.
- Obtain correct and complete information from customers by asking relevant questions and actively listening to make informed decisions.
Claims Processing and Costing
- Utilize tools (e.g., TIAL, supplier contacts) and negotiation skills to accurately cost claims and make decisions aligned with business objectives and client fairness.
- Stay up-to-date with general knowledge of insurable goods and be aware of where to find additional information when necessary.
Claims Finalization and Compliance
- Ensure claims are finalized within established parameters, including meeting turnaround times and accurately applying terms and conditions.
- Approve and process payments of claims within assigned authority limits.
Customer and Stakeholder Communication
- Provide regular feedback to customers and stakeholders in line with company requirements.
- Build and maintain relationships with key stakeholders (e.g., Assessors, Panel beaters, Brokers, Legal, and suppliers) to support job objectives.
Customer Service and Complaint Resolution
- Take full accountability for resolving claims processes and effectively communicate outcomes to clients to deliver quality service and ensure customer retention.
- Address and resolve customer complaints, applying sound judgment to handle unique situations outside standard parameters to promote client satisfaction.
Service Delivery and Compliance
- Uphold and deliver the service standards through individual and team efforts.
- Adhere to Treating Customers Fairly (TCF) principles, ensuring compliance with regulatory standards.
Job Type: Full-time
Pay: From R12 000,00 per month
Work Location: In person
Application Deadline: 2025/09/11