Senior Claims Consultant – Port Elizabeth
Accountancy Placements · Port Elizabeth, Eastern Cape
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Start free — we apply for you →- 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.
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