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Claims Consultant (First Notice of Loss) MMH250929-1

Claims Consultant (First Notice of Loss) MMH250929-1

GuardriskSandton, Gauteng, South Africa
12 hours ago
Job description

Overview

Role Purpose : The FNOL Claims Consultant is responsible for registering new claims received from brokers and appointed service providers within the SLA. This role requires excellent customer service skills, attention to detail, and the ability to work in a fast-paced environment.

Qualifications

Requirements

Qualifications

  • Diploma or equivalent (required)
  • NQF Level 4 qualification in insurance

Experience

  • 1–2 years of experience in customer service, insurance, or claims handling (preferred)
  • Duties and Responsibilities

  • Claims Intake – Receive new claims from the designated mailbox and register them within the SLA. Appointment of Service Providers occurs when information is available at registrations stage. Verify essential information such as policy details, date and time of the incident, incident address, description of the loss, and contact information.
  • Data Entry And Documentation – Accurately enter claim details into the Ski system. Ensure all information is complete and consistent for further processing.
  • Initial Assessment – Appoint the relevant Service Provider on claims if all information is available and cover is confirmed. Identify potential red flags, such as fraudulent claims or coverage issues.
  • Coordination – Route claims to the appropriate claims technicians or departments based on type and severity of the loss. Collaborate with other teams, such as underwriting, as needed.
  • Compliance – Ensure all claims are handled in compliance with company policies, regulatory requirements, and industry standards.
  • Follow-Up – Follow up with claimants to obtain missing information or documentation.
  • Key Performance Indicators (KPIs) – Accuracy of data entry and documentation; number of claims registered per day / week; compliance with regulatory and company standards.
  • Location and Employment

  • Seniority level : Entry level
  • Employment type : Contract
  • Job function : Finance and Sales
  • Note : Referrals increase your chances of interviewing at Guardrisk. Get notified about new Claims Consultant jobs in Sandton, Gauteng, South Africa.

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    Consultant • Sandton, Gauteng, South Africa

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