Claim Handler

Johannesburg, Gauteng, South Africa

Job Description


Key Responsibilities: * Receive and review insurance claims, including property damage, liability, and personal injury claims, to determine coverage and eligibility.

  • Conduct thorough investigations into the circumstances surrounding each claim, gathering relevant information, documents, and evidence.
  • Evaluate claim documentation, policy terms, and legal regulations to determine the validity of claims and assess liability.
  • Communicate with claimants, policyholders, witnesses, and other relevant parties to obtain additional information and clarify details of the claim.
  • Provide clear and accurate explanations of coverage, claim decisions, and settlement options to claimants and policyholders.
  • Process claims payments, settlements, and reserves in accordance with company policies and regulatory requirements.
  • Negotiate settlement agreements with claimants or their representatives, seeking to achieve fair and equitable resolutions.
  • Collaborate with internal departments, including underwriting, legal, and finance, to address complex claims issues and mitigate risk.
  • Maintain detailed and organized claim files, documenting all relevant activities, communications, and decisions throughout the claims process.
  • Stay current on industry trends, regulatory changes, and best practices in claims handling to enhance knowledge and performance.
Qualifications: * Bachelor's degree in Business, Finance, Risk Management, or related field preferred.
  • Proven experience in insurance claims handling or related field, with a strong understanding of insurance principles, policies, and procedures.
  • Excellent analytical skills with the ability to evaluate information, assess risk, and make sound decisions.
  • Strong communication and interpersonal skills, with the ability to effectively interact with diverse stakeholders.
  • Detail-oriented approach with a focus on accuracy and precision in claim documentation and processing.
  • Ability to prioritize tasks, manage workload efficiently, and meet deadlines in a fast-paced environment.
  • Proficiency in computer applications and claims management software.
  • Knowledge of insurance regulations and compliance requirements.
  • Strong negotiation skills with the ability to resolve conflicts and negotiate favorable outcomes.
  • Commitment to providing exceptional customer service and building positive relationships with clients and colleagues.
Preferred Qualifications: * Professional certification in claims adjusting or risk management (e.g., AIC, ARM) is a plus.
  • Experience handling complex or high-value insurance claims.
  • Familiarity with various types of insurance coverage, including property, casualty, and liability.
  • Bilingual proficiency in languages commonly spoken by our client base may be advantageous.

SavageOne Pty Ltd

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Job Detail

  • Job Id
    JD1315474
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Johannesburg, Gauteng, South Africa
  • Education
    Not mentioned