Senior Claims Consultant Port Elizabeth Our client in the insurance sector is seeking a skilled and experienced Senior Claims Consultant. The successful candidate will manage complex claims support the claims team and ensure efficient and compliant claims management from registration to settlement.
Responsibilities
Register and manage insurance claims from inception through to settlement
Supervise the claims team ensuring adherence to company procedures and service standards
Oversee the registration processing escalation and settlement of all claims
Ensure claims exceeding settlement mandates are referred to insurers within required timeframes
Review and authorize complex high-value and uninsured claims
Monitor claim reserves estimates recoveries salvage and outstanding balances
Ensure accurate claim records correspondence and diary management are maintained
Liaise with insurers assessors attorneys service providers and clients on complex claims matters
Drive recovery and third-party claim processes to maximize recoveries
Prepare management reports and provide claims trend analysis and recommendations
Ensure compliance with regulatory requirements insurer mandates and internal controls
Requirements
NQF 5 in Short-Term Insurance
Minimum of 5 years experience in a short-term claims environment
Strong knowledge of policy wording claims management recoveries and insurer mandates
RE5 qualification and FAIS compliance
Strong computer skills
Excellent analytical leadership and communication skills
Strong attention to detail and ability to manage complex matters
Due to the high volume of applications received only suitable candidates who meet the criteria of this vacancy will be contacted.
Required Experience:
Senior IC
Employment Type : Full-Time Department / Functional Area: Insurance Experience: years Vacancy: 1
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Senior Claims Consultant – Port Elizabeth • Port Elizabeth, Eastern Cape, South Africa