Claims Consultant (RE5), Roodepoort

Claims Consultant (RE5) job vacancy in Roodepoort. The Claims Consultant is responsible for processing and adjudicating motor and non-motor insurance claims in accordance with prescribed procedures and protocols.

The role ensures accurate claims handling, effective communication with stakeholders, and adherence to quality and productivity standards within a call centre environment.

Salary: R16 000– R20 000 per month.

Duties and Responsibilities

Claims Processing&Adjudication

Process and assess motor and non-motor insurance claims in line with company procedures

Ensure accurate documentation, logging, and updating of claims on the relevant system

Maintain high levels of accuracy and quality in all claims assessments

Ensure compliance with policy terms, conditions, and underwriting requirements

Client&Stakeholder Communication

Handle queries from policyholders, service providers, and internal stakeholders

Provide professional and timely feedback on claims progress and outcomes

Liaise effectively with service providers to ensure smooth claims processing

Maintain a professional, friendly, and customer-focused approach at all times

Performance&Administration

Meet daily, weekly, and monthly productivity and capture targets

Ensure all claims-related administration is completed accurately and timeously

Maintain proper records and ensure all required documentation is in place

Quality&Continuous Improvement

Maintain quality standards in all work outputs

Continuously improve knowledge of policy wordings, benefits, and claims procedures

Participate in activities aimed at enhancing personal competence and performance

Minimum Requirements Qualifications

Matric

RE5 Certificate (Essential)

Experience

Minimum 2 years’ experience in a call centre environment

Experience in an insurance environment advantageous

Exposure to underwriting and claims management processes

Skills&Competencies

Strong analytical and problem-solving ability

Ability to work under pressure and meet deadlines

Good understanding of claims processes and procedures

Proficiency in Microsoft Office

Strong communication and interpersonal skills

Ability to work both independently and within a team

Key Attributes

Professional, positive, and customer-focused approach

Strong attention to detail and accuracy

Logical thinker with sound judgement

Self-motivated and proactive

Reliable and performance-driven

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