Senior Claims Consultant (pta)

Pretoria, Gauteng, South Africa

Job Description

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Senior Claims consultant (PTA)
Details
Closing Date 2025/11/18
Reference Number HOL251114-3
Job Title Senior Claims consultant (PTA)
Business Unit Hollard Insure
Department Northern Region
Job Family Operations - incuding Claims, Policy Servicing, Underwriting and Retentions
Job Type Classification Permanent
Reporting To Team Leader
Number of Positions 1
Location - Town / City Pretoria
Location - Province Gauteng
Location - Country South Africa
Job Advert Summary
Job Purpose
The Senior Claims Consultant is responsible for managing claims allocated to the branch, in alignment with branch mandates and company standards. This role plays a key part in ensuring the efficiency and effectiveness of the claims department by upholding technical excellence and service quality. The incumbent will contribute to the growth and profitability of Hollard by ensuring accurate claims settlement, maintaining the department's professional standards, and fostering strong relationships with internal and external stakeholders, thereby enhancing Hollard's reputation.
Key Responsibilities:

  • Technical expertise: To evaluate and investigate all claims received in order to prevent possible leakage to the company in the settlement of claims.
  • Customer service: Maintain a high level of service to customers (internal and external) according to service level agreements and within the service standards set by the company.
  • Broker Support: Deliver advanced support, including binder brokers, exceeding routine claims processing by offering expert technical expertise and assistance. Participate actively in broker meetings to strengthen collaboration and ensure alignment on claims-related matters.
  • Reporting: Create Excel reports to support claims analysis, trend identification, and decision - making processes.
  • Effective and timeous communication: Communicate in a professional manner with internal and external parties and respond to queries within 24 hours.
  • Registration: All claims received to be registered within 24 hours.
Required Knowledge and Experience
  • Good knowledge of Commercial & Personal Lines with at least minimum of 5 - 7 years' experience.
  • Mandate of R750,000.00 and above.
  • Good communication skills oral and written (English and Afrikaans)
  • Microsoft Excel proficiency must be at intermediate level.
  • Must have a solid understanding of the claims procedure
  • Must be proficient in insurance terminology and FAIS compliant.
  • Underwriting knowledge (ability to interpret policy wording, understanding how claims information impacts on underwriting)
  • Basic risk assessment knowledge (understand the assessment process, with an ability to appoint the right assessor)
  • A basic understanding of reinsurance and treaties
  • Must have product, legal (prescription act, insurance act, FAIS) & basic financial knowledge (estimates, premiums, co-insurance).
Educational Requirements
  • Grade 12
  • NQF 4 Insurance qualification or equivalent advantageous
Policy
Hollard is unapologetically committed to creating and enabling a workplace that values your diversity with a true sense of care, dignity and inclusion. We actively seek to hire for your different lived experiences (including, but not limited to disability, race, religion, ethnicity, culture, language and social origin , gender diversity, sexual orientation, neurodiversity). These grounds enhance cognitive diversity and psychological safety in our workplace for everyone.
We proudly promote the "Hollard Way we work," which is a combination hybrid work environment at this time. We offer flexibility in our work as far as possible, dependent on the nature of the role. Even if you don't meet all our selection criteria, we encourage you to apply!
Hollard. All rights reserved.
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Job Detail

  • Job Id
    JD1590831
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Pretoria, Gauteng, South Africa
  • Education
    Not mentioned