Senior Claims Consultant – Port Elizabeth

SUMMARY:
Senior Claims Consultant – Port Elizabeth
Our client in the insurance sector is seeking a skilled and experienced Senior Claims Consultant. The successful candidate will manage complex claims, support the claims team, and ensure efficient and compliant claims management from registration to settlement.

POSITION INFO:
Responsibilities Register and manage insurance claims from inception through to settlement Supervise the claims team, ensuring adherence to company procedures and service standards Oversee the registration, processing, escalation, and settlement of all claims Ensure claims exceeding settlement mandates are referred to insurers within required timeframes Review and authorize complex, high-value, and uninsured claims Monitor claim reserves, estimates, recoveries, salvage, and outstanding balances Ensure accurate claim records, correspondence, and diary management are maintained Liaise with insurers, assessors, attorneys, service providers, and clients on complex claims matters Drive recovery and third-party claim processes to maximize recoveries Prepare management reports and provide claims trend analysis and recommendations Ensure compliance with regulatory requirements, insurer mandates, and internal controls Requirements NQF 5 in Short-Term Insurance Minimum of 5 years' experience in a short-term claims environment Strong knowledge of policy wording, claims management, recoveries, and insurer mandates RE5 qualification and FAIS compliance Strong computer skills Excellent analytical, leadership, and communication skills Strong attention to detail and ability to manage complex matters Due to the high volume of applications received, only suitable candidates who meet the criteria of this vacancy will be contacted.