About the position
About the Company
We are a well-established and highly regarded Risk and Insurance Advisory Business committed to putting our clients first since 1998. We offer expert, bespoke financial solutions across short-term personal, commercial, life, and investment management. We are looking for a dedicated and empathetic individual to join our operations team and deliver exceptional service during a critical time for our clients—the claims process.
Job Title: Claims Handler
Location: Randburg
Salary Range: R14,000 to R25,000 per month (depending on experience and qualifications)
Overview of the Role
The Claims Handler is the main point of contact for clients reporting claims and is responsible for managing the claims life cycle from first notification to final settlement. This role requires empathy, strong organisational skills, and a commitment to ensuring fair, efficient, and compliant claims resolution, maintaining our reputation for client-centric service.
Key Responsibilities
- First Notification of Loss (FNOL): Receive and accurately register new claims from clients via phone, email, or digital channels. Capture all essential details promptly and sensitively.
- Claims Management and Validation: Assess the validity of claims against policy terms and conditions. Appoint assessors or adjusters where necessary and guide the investigation process.
- Communication and Client Service: Act as the primary liaison, providing regular, clear, and professional updates to clients and brokers regarding the status and progress of their claims.
- Negotiation and Settlement: Negotiate with third parties, service providers, and repairers to ensure claims are settled accurately, promptly, and cost-effectively, while maintaining service quality standards.
- Compliance and Administration: Ensure all claims processes adhere to regulatory requirements (e.g., FAIS and TCF) and internal standards. Maintain accurate records and documentation in the claims management system.
- Escalation and Problem Solving: Identify and escalate complex or contentious claims to senior management or technical experts for resolution. Proactively manage client expectations and resolve queries or complaints efficiently.
Qualifications and Experience
Essential Requirements:
- A minimum of 2-3 years of experience as a Claims Handler or Claims Administrator, preferably within the short-term insurance sector.
- Proven knowledge of the claims process for personal lines (e.g., motor, household) and/or commercial lines.
- Relevant FAIS (Financial Advisory and Intermediary Services Act) credits or qualifications, with the ability to become RE5 compliant if not already achieved.
- Exceptional telephone etiquette and strong written communication skills.
- Demonstrated ability to be empathetic, patient, and professional when dealing with clients under stress.
Desirable Attributes:
- A relevant tertiary qualification (e.g., degree or diploma in Insurance, Law, or Business Administration).
- Experience with a variety of claims management software and systems.
- Proven ability to multitask and manage a high volume of claims files efficiently.
Why Join Us?
This is a vital service role within an established company that truly values its clientele. You will be empowered to make a real difference by providing support and resolution when clients need it most, contributing directly to our reputation for excellence.
Desired Skills:
- Claims
- Compliance
- Negotiation
