Claims Consultant

SUMMARY:
Future Careers is recruiting a Claims Consultant for a leading financial services provider based in Durban.

POSITION INFO:

The successful candidate will be responsible for delivering exceptional customer experiences by efficiently managing homeowners and buildings insurance claims from start to finish. This role balances timely and fair claim resolution with risk management, compliance, and service excellence, ensuring alignment with regulatory requirements and company standards.

Claims Management & Technical Delivery

• Assess, authorize, and resolve homeowners’ claims within mandate, productivity targets, and turnaround times

• Apply policy wording accurately to ensure fair and compliant claim outcomes

• Manage claim approvals, rejections, and settlements in line with regulatory requirements

• Appoint and manage relationships with panel-approved experts, ensuring correct application of building tariffs and rates

• Analyze reports and quotations to support prompt, informed decision-making

• Maintain accurate claim records using claims management systems and digital tools

Customer Experience & Communication

• Deliver clear, professional, and empathetic communication throughout the claims journey

• Handle complaints and difficult customer interactions calmly, assertively, and fairly

• Explain technical claim outcomes to customers and stakeholders in a clear and accessible manner

Risk Awareness & Investigation

• Analyze claims history and reported incidents to identify trends, risks, or anomalies

• Escalate suspicious or potentially fraudulent activity in line with internal processes

• Engage constructively with loss adjusters and technical specialists to debate and resolve complex claims

Stakeholder Engagement

• Build and maintain strong working relationships across internal and external stakeholders

• Collaborate daily with Finance, Customer Contact Centres, Policy Administration, Procurement, and Management

• Engage with service providers including loss adjusters, engineers, quantity surveyors, and forensic specialists

• Support internal and external audit processes as required

  Education Profile

  • Matric (Grade 12)
  • Minimum 4 years’ short-term insurance experience, preferably in homeowners’ claims
  • Strong ability to interpret technical reports and communicate outcomes accurately to customers
  • FETC: Short-Term Insurance (NQF Level 4)
  • RE5
  • Strong technical claims judgement and problem-solving ability
  • Excellent verbal and written communication skills
  • Ability to work under pressure, meet deadlines, and manage high workloads
  • Ethical, decisive, confident, fair, and detail-oriented • Strong sense of accountability and teamwork
  • Short-term insurance and claims processing expertise
  • Proficient in Microsoft Excel, Word, and Outlook, Google Maps
  • Experience navigating claims management systems
  • Ability to analyze and communicate technical information effectively

  • Building claims experience.

  • Experience in making decisions on whether to approve or decline a claim based on the evidence provided.

Please forward your CV to jeri.

Should you not be contacted within 2 weeks, kindly consider your application unsuccessful.