Short Terms Claims Consultant, Pretoria

A leading organisation within the insurance sector is seeking a Short-Term Claims Consultant to manage and process short-term insurance claims efficiently and accurately. The successful candidate will deliver a high standard of client service while ensuring compliance with industry regulations and internal policies. This role plays a key part in maintaining strong client relationships through professional, empathetic, and solution-focused interactions.

Key Responsibilities Claims Management

• Manage the full claims lifecycle, including registration, assessment, validation, and settlement
• Ensure claims are processed within agreed service level agreements (SLAs)
• Accurately capture and update claims information within internal systems
• Maintain compliance with all regulatory and operational requirements

Client Engagement

• Communicate with clients to obtain required information and provide updates on claims
• Explain claims processes clearly and manage expectations
• Handle queries and concerns professionally, ensuring a positive client experience
• Escalate complex or disputed claims when necessary

Assessment & Investigation

• Review and verify claims documentation to determine validity
• Liaise with external service providers (e.g., assessors, repairers) for accurate evaluations
• Identify and report any suspicious or potentially fraudulent claims
• Ensure accurate costing and assessment of damages

Collaboration

• Work closely with internal teams and external partners to ensure smooth claims resolution
• Contribute to process improvements and team performance initiatives

Compliance & Reporting

• Adhere to relevant regulations, company policies, and Treating Customers Fairly (TCF) principles
• Prepare and submit reports as required by management

Minimum Requirements Qualifications

• Matric (Grade 12)
• Relevant regulatory qualification (e.g., RE5)

Experience

• Minimum 2 years' experience in short-term insurance claims (non-motor – building & contents preferred)
• Experience within the insurance or financial services industry is essential

Skills & Competencies

• Strong understanding of short-term insurance products and claims processes
• Excellent communication and interpersonal skills
• Good working knowledge of Microsoft Office and claims systems
• High attention to detail and accuracy
• Strong analytical and problem-solving skills
• Ability to work under pressure and manage multiple priorities
• Customer-focused with a professional and empathetic approach