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Claims Handler
Sandton, Gauteng
Permanent
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Posted 16 April 2025 - Closing Date 16 May 2025

Job Details

Job Description

Hire Resolve's client, a reputable and well-established organisation in the short-term insurance industry, is currently seeking a skilled Claims Handler II to join their dynamic team based in Bryanston. The ideal candidate will be responsible for managing claims from registration through to final settlement, ensuring exceptional service delivery, compliance, and efficiency throughout the claims life cycle.


Responsibilities

  • Manage end-to-end claims process, from registration to final settlement.

  • Register motor and non-motor claims for personal and commercial policies.

  • Appoint assessors and confirm coverage adequacy.

  • Accurately capture and update information on internal systems.

  • Gather and verify information from clients and other parties involved in claims.

  • Assess policy coverage and determine claim merits based on investigation.

  • Refer complex or high-value claims to appropriate professionals (e.g., loss adjusters).

  • Negotiate settlements with clients, service providers, and insurance markets.

  • Provide written communication to clients regarding claim outcomes.

  • Conduct ongoing reserve adjustments throughout the claim lifecycle.

  • Arrange vehicle hire, contractors, or assistance for clients where necessary.

  • Manage salvage processes through to recovery and payment.

  • Maintain detailed, date-stamped notes on claim files.

  • Escalate potential errors or omissions to the Claims Manager promptly.

  • Close and archive claim files following finalisation.

  • Handle and resolve internal and external client complaints efficiently.

  • Submit insurer reports and feedback within agreed timelines.

  • Maintain policy records post-claim, including item updates or removals.

  • Ensure all claims handling meets company policies and operational standards.

  • Keep daily diary and mail systems updated.

  • Foster strong relationships with clients, colleagues, and service providers.

  • Share knowledge with colleagues and support team service goals.

  • Participate in continuous improvement efforts for claims processes.

  • Ensure adherence to all organisational procedures and regulatory requirements.


Requirements

  • Matric (Grade 12)

  • NQF Level 5 qualification relevant to short-term insurance

  • Successfully completed RE5 Examination (Level 1)

  • Minimum 3 years of claims handling experience with a settlement mandate

  • Minimum 5 years of experience in the short-term insurance industry

  • Solid understanding of short-term insurance and financial services sectors

  • Familiarity with FICA, POPIA, and insurance regulations

  • Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook)

  • Experience with Cardinal 360 system is advantageous

  • DOFA confirmation from FSB required

  • Strong communication (written and verbal) and interpersonal skills

  • Excellent time management, multitasking, and organisational ability

  • Able to work both independently and collaboratively in a team

  • Professional, reliable, and ethical with a strong work ethic

  • Analytical thinker with problem-solving capabilities

  • Able to thrive in a fast-paced, high-pressure environment

  • Positive attitude, proactive, and customer-focused


Benefits
  • Market-related salary

  • Contact Hire Resolve for your next career-changing move today

    • Apply for this role today, contact Gustav Vogel at Hire Resolve or on LinkedIn
    • You can also visit the Hire Resolve website: hireresolve.us or email us your CV: [email protected]
    • Please use "Claims Handler" as your subject line when applying via email 

    We will contact you telephonically in 3 days should you be suitable for this vacancy. If you are not suitable, we will put your CV on file and contact you regarding any future vacancies that arise


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