Job Description

We are seeking a skilled Senior Claims Handler to join our client in the Insurance industry. The ideal candidate will have a strong background in insurance claims processing from registering to payment stage, exceptional communication skills, and a commitment to providing outstanding customer service.

Responsibilities:

• Evaluate insurance claims promptly and accurately, determining coverage and liability.
• Investigate claims thoroughly, gathering relevant information from various sources including clients, witnesses, and experts.
• Analyse policy documentation and legal regulations to ensure claims are handled in compliance with company procedures and industry standards.
• Collaborate with other departments such as underwriting and legal to resolve complex claims issues.
• Negotiate settlements with claimants or their representatives, aiming for fair and efficient resolutions.
• Document claim activities and maintain accurate records by company policies and regulatory requirements.
• Provide guidance and mentorship to junior claims handlers, assisting in their professional development.
• Stay informed about industry trends, legal developments, and emerging technologies related to claims handling.
• Liaise with insurers and suppliers.
• Communicate with insurers telephonically and by email (relating to claim progress)
• Assist insurers with general and claims-related queries.
• Administrate domestic and commercial, motor, and non-motor claims.
• Manage and settle claims timeously.
• Manage the allocation of claim reserves/outstandings.
• Assist with administrative functions and projects at the request of management.
• Maintain the electronic claims filing system (including the renaming of documents).
• Request and/or check claim payments according to a mandate.

Qualifications:

• Qualification in business, finance, or a related field preferred.
• Minimum of 5 10 years of experience in insurance claims handling.
• Previous experience in the insurance industry is a must
• Strong understanding of insurance policies, coverage terms, and legal regulations.
• Experience working with binder claims and mandates
• Excellent analytical skills with the ability to assess complex situations and make sound decisions.
• Exceptional communication and negotiation skills, both written and verbal.
• Proficiency in relevant computer software and databases for claims processing.
• Demonstrated leadership abilities with a track record of successfully managing projects or teams.
• FAIS Regulatory Examination (RE5) (advantageous)
• Relevant FAIS (150 Credits)
• Full qualification in short-term
• Adherence to the FSCA Fit and Proper requirements