Binder and Outsourced Claims Specialist
Manpower SA
- R25,000 - R30,000 per month
- Permanent Senior position
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Primrose
- Posted 17 Jul 2025 by Manpower SA
- Expires in 29 days
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Job 2617100 - Ref CPT003103
About the position
The main purpose of the Claims Specialist’s role is to validate and process short-term insurance claims following a fortuitous event. Working in close partnership with an allocated portfolio of brokers, the Binder and Outsource Claims Specialist will specifically make claims validation decisions on complex and high value claims that exceed the broker’s mandate (for both Motor and Non-Motor, Personal Lines and Commercial Lines).
The Claims specialist will also fulfill a coaching role, assisting and guiding binder and outsource brokers to make correct claims validation determinations on all claims that fall within their defined mandate.
The Claims Specialist will oversee the training and oversight of the binder and outsource brokers
Key Performance Areas:
- Validation of claims in line with Company guidelines and Standard Operating Procedures
- Management of Large loss and complex claims
- Appointment of necessary providers
- Authorizations\Settlement of claims
- Rejection of claims
- Processing payments within the turn-around time
- Payment confirmations to Brokers and Suppliers
- Assisting clients and brokers over the phone / email with claims and queries
- Relationship Management with allocated brokers, including training of brokers with binder and outsourceagreements
- Oversight and management of binder and outsource brokers
- Complaints handling and resolution
- Liaising with Service Providers
- Liaising with brokers and clients
Requirements:
- Matric Certificate – essential
- Regulatory Exam
- Further Education and Training Certificate in Short-Term Insurance – NQF 4, and/ or a Higher Certificate inShort term Insurance - NQF 5
- Class of Business certification (Personal Lines & Commercial Lines) – Highly advantageous
- Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised.
- Marine and Engineering knowledge – Highly advantageous
- Computer literate – Microsoft Word, Excel, and Outlook
- Experience in Commercial and Personal lines
- At least 5-years’ relevant work experience in claims validations and settlement (both in Motor and NonMotor claims, as well as in both Personal Lines and Commercial Lines classes of business)
- Work experience within a licensed insurer, or Underwriting Manager.
- Experienced in making claims settlement determinations with mandate exceeding R250 000.00
- Sound technical knowledge and understanding of relevant short term insurance policy wording
Please note that only shortlisted candidates will be contacted
Desired Skills:
- Binder and Outsourced Claims Specialist
- RE5
- NQF Level 5
Manpower SA
About the agency
Manpower is the world's leader in employment and staffing services, with offices in over 80 different countries and territories providing individual service to 2.5 million employees world-wide.
Manpower can help your company anticipate and benefit from the changes happening now and next, in the contemporary world of work. Over 60 years of experience in staffing and recruitment, training, HR Services, outsourcing and consulting for all industries skills and levels.
Our focus is to meet your widest range of skill requirements. Our commitment is to continuous service improvement through development and technology.
We want you to know you will have the skills you need, today and in the future.
Our staffing solutions across various disciplines include:
Temporary / Contract and Project Staffing
Our propriety skill assessments enable us to confirm our people's software knowledge, practical abilities and quality attitude across the widest range of work profiles
Permanent Recruitment
Call Centre Staffing
Our proprietary teleskill assessment identifies the skills required for the widest range of inbound and outbound work, from basic helpdesk operations to telephone marketing and telesales.
Outsourcing Staffing Solutions
Manpower provides Wage Master as a customized solution to clients who have various staffing requirements. The client chooses the employees and determines their remuneration package.
Manpower then assumes employer responsibility for all HR issues and provides a payrolling service. Manpower can establish an office on your premises with a supervisor and staff to manage part or your entire workforce.
We continue to seek ways to further refine our system, to improve our level of response and to give you the highest quality possible. Our goal is not just to meet your expectations ... but to exceed them.
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