Claims Consultant (First Notice Of Loss)

GuardriskGauteng, South Africa

3 days ago

Job description

Claims Consultant (First Notice of Loss) – MMH -1

Posted today

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.

Requirements

Diploma or equivalent (required)
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 within the SLA.

Appointment of Service Providers – Verify policy details, incident date / time, address, loss description, and contact information.

Data Entry and Documentation – Accurately enter claim details into the Ski system and ensure completeness.

Initial Assessment – Appoint the relevant Service Provider when information is available and cover is confirmed.

Identify potential red flag claims – Fraud or coverage issues.

Coordination – Route claims to the appropriate technicians or departments based on type and severity.

Collaboration – Work with underwriting or other teams as required.

Compliance – Handle all claims in line with company policies, regulatory requirements, and industry standards.

Follow‑Up – Contact 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.

As an applicant, please verify the legitimacy of this job advert on our company career page.

Claims Consultant – Guardrisk

Posted today

Introduction

Guardrisk is the undisputed market leader in cell captive insurance and risk solutions. We are renowned for our innovative approach to cell captive structures and other alternative risk transfer solutions.

Role Purpose

The FNOL Claims Consultant is responsible for registering new claims received from brokers and appointed service providers within the SLA.

Requirements

Diploma or equivalent (required)

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

Duties & Responsibilities

Claims Intake – Receive new claims from the designated mailbox and register within the SLA.

Appointment of Service Providers – Verify essential claim information.

Data Entry and Documentation – Enter claim details into the Ski system.

Initial Assessment – Appoint Service Providers if cover is confirmed.

Identify red flags – Fraud or coverage risks.

Coordinate claim routing to appropriate technicians or departments.

Collaborate with underwriting and other teams.

Ensure compliance with company policies and regulatory standards.

Follow‑up with claimants for missing information.

Key Skills

Excellent verbal and written communication.

Strong customer‑service orientation.

High level of attention to detail.

Problem‑solving ability.

Time‑management skills.

Proficiency in claims systems, Microsoft Office, and relevant tools.

Insurance Claims Manager – Bsure Insurance Advisors

Posted today

Job Description

Bsure Insurance Advisors is one of South Africa's most progressive and people‑centric brokerages. We partner with a multitude of insurers and handle key binder functions across underwriting, claims management, and renewals.

We are looking for a dynamic, hands‑on Head of Claims with 6–10 years' experience in the short‑term insurance industry, mostly within claims.

Key Responsibilities

Lead and manage the entire Claims Department across all lines of business.

Develop and execute claims strategies aligned with company growth.

Empower, mentor, and hold the team accountable for performance and client outcomes.

Drive innovation and continuous improvement in claims processes and customer experience.

Monitor claims ratios, turnaround times, and satisfaction metrics.

Maintain strong insurer partner relationships and assessors.

Ensure compliance with all binder and regulatory obligations.

Requirements

6–10 years of short‑term insurance experience, significant portion in claims.

Proven leadership or management experience within a claims environment.

Understanding of insurer relationships and regulatory requirements.

Excellent communication, problem‑solving, and decision‑making skills.

Ability to work autonomously while collaborating across departments.

Strong drive for results and continuous improvement.

Claims Consultant – PPS Recruitment

Posted today

Job Advert Summary

Co‑ordinate and oversee, manage, negotiate and settle personal lines and commercial claims. Debrief and finalise claims end‑to‑end. Administer and validate claims efficiently within specifications.

Minimum Requirements

NQF Level 4 : Grade 12

Certificate of Proficiency in related field

Experience

5+ years in Short‑Term Insurance Claims environment

Additional advantage : Codeplex experience

Short‑term Insurance Industry exposure beneficial

Knowledge and Skills

Strong communication skills (written & verbal)

Strong customer service orientation

Service‑driven focus on accuracy and quality within SLAs

Attention to detail

Strong work ethic and drive to exceed expectations

Analytical and problem‑solving abilities

Adaptability to diverse stakeholders and environments

Competencies

Adapting and responding to change

Persuading and influencing

Deciding and initiating action

Coping with pressure

Duties and Responsibilities

Validate claims within prescribed turnaround times as per SLAs.

Document all interactions, decisions, and transactions related to the claims process.

Investigate claims and appoint assessors or loss adjustors where necessary.

Verify that all requirements (e.g., alarm systems) are met in the policy contract.

Confirm conflicting statements with relevant parties.

Make decisions within financial mandate.

Process Optimization

Work with cross‑functional teams to deliver service as per SLAs.

Combat insurance fraud by ensuring strict compliance with mandates and regulations.

Identify opportunities for process improvements and efficiency enhancements.

Uphold all service excellence principles.

Stakeholder Management

Build and maintain relationships with internal and external stakeholders.

Collaborate effectively with peers to achieve business results.

Commercial Claims Consultant

Posted today

Job Overview

Detail‑oriented professional with passion for organization and efficiency. Support clients and colleagues in a dynamic environment.

Key Responsibilities

Claims System Setup – Collaborate on design and implementation of new claims system.

Claims Data Management – Gather and maintain up‑to‑date claims data from insurers.

Reporting and Analytics – Create and manage claims reports and analytics.

Technical Claims Support – Provide support on complex claims and resolve issues.

Client and Policy Management – Update client fleet lists, meta records, and drive folders.

Communicate with insurers regarding policy amendments and claims.

Professional Development

Participate in training sessions to obtain necessary accreditations and stay updated on industry best practices.

Additional Requirements

Matric Certificate

FSCA Compliant

RE and NQF4 advantageous

Minimum 3 years experience in commercial claims

Funeral Claims Consultant – Standard Bank

Posted today

Job Overview

Analyse, assess and pay valid funeral claims within 48 hours. Detect fraudulent activities and maintain high NPS score.

Qualifications

Diploma in Insurance Institute or related field

FAIS compliant

RE 5

Experience

Minimum 3 years in insurance industry.

Minimum 2 years call centre / telephone experience.

Knowledge of at least one long‑term insurance product.

Additional Information

Behavioural competencies : Articulating information, developing expertise, following procedures, interacting with people, interpreting data.

Technical competencies : NPS score >

80%, refer suspicious claims to Fraud operations.

Target fraud savings as set out by business.

Accuracy rating 0% on quality assurance.

Finalize a minimum of 20 claims per day.

Reports and Processes

Behavioural Competencies – Articulating information

Claims Service Consultant and Administrator

Posted 121 days ago

Job Description

Permanent Claims Administrator role in Johannesburg. Detail‑oriented, accurate administration, documentation, and strong communication.

Your Responsibilities

Client Support – Register claims, gather documentation, and provide updates.

Claims Processing – Track claims efficiently and liaise with providers.

Compliance & Quality – Ensure actions adhere to company policy and regulatory guidelines.

Requirements

Matric – tertiary qualification is advantageous.

Claims experience – at least 1 year in a similar role.

Professionalism – excellent interpersonal skills.

Tech‑ready – manage email, phone queries, and digital tracking systems.

Driver’s licence & own transport – advantageous.

Flexible – open to extended hours when required.

Benefits

Work with a client committed to professionalism and service excellence.

Gain exposure to a variety of insurance products and client scenarios.

Credit Life Claims Registrations Consultant – Standard Bank

Posted today

Job Overview

Process invoices / claims / corporate card settlements within defined timelines. Deliver highest level of customer service.

Qualifications

Diploma in Finance and Accounting – FAIS related.

RE 5

Experience

2–3 years in Registrations / Claims environment.

Knowledge of bank system.

Long Term Claims process experience.

Identify products, additional benefits, policy conditions.

Behavioural Competencies

Team Player, Future Ready, Ability to adapt, Deal with difficult clients.

Technical Competencies

Detail and accuracy, methodical, diplomatic, results‑oriented, customer service focused, continuous process improvement, financial and accounting control.

Claims Consultant – Prime South Africa

Posted today

The Role

Reports to Claims Investigation Middle Manager. Motor claims investigation experience, leadership, coaching, analytical and process improvement skills.

Main Responsibilities of a Claim's Investigation Manager

Manage a team of desktop investigators.

Guide the team to achieve set targets while maintaining quality standards.

Monitor and course‑correct daily performance.

Leadership & Process Improvement

Provide performance management, reward, and recognition processes.

Motivate and inspire team members.

Identify and implement process improvement concepts.

Coach and train less experienced investigators.

Conduct regular reviews of claims processes.

Strategic Contribution & Compliance

Work closely with middle management and contribute through data analytics and scorecards.

Recommend best practices to ensure regulatory compliance.

Maintain strong professional knowledge of claims regulatory and legal environments.

Perform administrative duties to support the function.

Personal Attributes & Skills

Team player, resilient, results‑driven, able to teach and coach.

Strong analytical, data analytics, and process improvement skills.

Excellent negotiation and decision‑making skills.

Good administration and time‑management skills.

Excellent communication skills, fluent in English.

Qualification & Experience

Completed degree in Criminology, Law, Forensics, Finance / Accounting (preference).

Strong proficiency in Microsoft Excel and internet navigation.

Experience in motor claims investigations, evidence collection.

Minimum 5‑10 years in a related role.

Registration as an FSCA representative advantageous.

Credit Life Claims Registrations Consultant – Standard Bank

Posted today

Same details as above – see previous Credit Life section.

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Roodepoort, Gauteng R - R Y Standard Bank

Posted today

Job Overview – Process invoices / claims / corporate card settlements.

Claims Service Consultant and Administrator

Posted 121 days ago

Permanent – Claims Administrator in Johannesburg.

Detailed description above.

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Consultant • Gauteng, South Africa

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