Job Description

We're looking for a dedicated professional to join our team in the role of Claims Consultant. The individual plays a key role in the effective handling, mediation, and verification of registered claims, ensuring accuracy and efficiency throughout the claims process.

1. Verification of Registered Claims

Generate and maintain the Registered Claims Report. Perform comprehensive verification of all registered claims, including: + Accurate department allocation + Validation of premium payments
+ Verification of peril codes
+ Assessment of transaction estimates
+ Review of supporting documentation
+ Confirmation of timely claim submission.

2. Management of Problematic Claims

Receive and evaluate queries from brokers. Identify and analyze the root cause of claim issues. Gather and document all relevant information. Refer matters to appropriate internal stakeholders. Prepare and maintain detailed progress reports. Escalate complex or unresolved issues to the Claims Manager as needed.

3. Claims Administration

Receive and log registered claims submitted by brokers. Verify the authenticity and completeness of each claim. Update internal systems with accurate claim data. Oversee the end-to-end administration of claims, including: + Appointing assessors and evaluating their reports + Requesting and reviewing quotations
+ Authorizing repairs, replacements, or cash settlements within mandate
+ Managing salvage processes
+ Referring specific claims to insurers as per mandate
+ Submitting invoices or agreements of loss for payment authorization
+ Capturing all relevant claim information in the system
+ Referring recoveries and third-party claims to appropriate stakeholders
+ Ensuring timely follow-up on all claim-related activities
+ Maintaining organized records and documentation
+ Responding to inquiries and resolving queries.

4. Communication and Reporting

Communicate claim outcomes to brokers promptly. Coordinate and manage procurement processes related to claims. Compile and submit monthly management reports. Provide technical advice and support to brokers. Ensure adherence to all relevant Service Level Agreements (SLAs). Monitor claim trends per insured party and escalate to underwriting when necessary.


Microsoft office (Excel & Word) At least 5 years experience in a Short Term Insurance, Claims handling and Mediation

Qualifications:

National Senior Certificate




Closing date: 13 January 2026



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We are committed to transformation through the appointment of persons from designated groups and potential candidates from these groups will enjoy preference. Kindly note that a consumer credit record will be requested in respect of all appointments which involve dealing with cash or finances. * Should we not have contacted you within six weeks of the closing date, you may assume that your application has been unsuccessful