Short Term Claims Consultant

SUMMARY:
The Short-Term Claims Consultant is responsible for processing and managing short-term insurance claims, assessing claims, coordinating with service providers and ensuring compliance with company policies and regulatory requirements.

POSITION INFO:
KEY RESPONSIBILITIES
Claims Processing:

• Manage the end-to-end claims process, including registration, assessment, validation, and settlement of claims.
• Ensure claims are processed within agreed service level agreements (SLAs) and in compliance with regulatory requirements.
• Accurately capture claims information and update records in the claims management system.

• Communicate with clients to gather necessary information, explain claims processes, and provide updates.
• Address client queries and concerns with professionalism and empathy, ensuring a positive client experience.
• Escalate complex or disputed claims to the Team Leader when required.

• Verify the validity of claims by reviewing documentation, conducting investigations, and liaising with service providers.
• Identify potential fraud and report any suspicious activity to the relevant department.
• Ensure accurate assessment of damages and costs in collaboration with assessors or other experts.

• Work closely with service providers, such as assessors, repairers, and other third parties, to facilitate claims resolution.
• Collaborate with the Team Leader and other team members to address challenges and improve processes.

• Ensure all claims handling practices comply with company policies and industry regulations.
• Prepare and submit claims reports to the Team Leader as required.

• Matric Certificate.
• At least 2 years of experience in short-term insurance (building and content) claims processing or a related role.
• Experience in the insurance or financial services industry is essential.
• Strong knowledge of non-motor short-term insurance products and claims processes.
• Proficiency in Microsoft Office and claims management systems.