Remote Short-term Claims Consultant (AUS)

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Requirements:

• Matric or equivalent
• Proven experience in claims support with a strong understanding of claims management, ideally in both Personal and Commercial Lines.
• Based in Cape Town or Johannesburg, South Africa with occasional in-person connections.

Responsibilities:

• Minimize claims and associated expenses.
• Deliver precise, timely, and professional communication with all stakeholders.
• Uphold company quality standards and comply with regulatory frameworks across all claims processes.
• Oversee claims administration, from receiving claims notifications to ensuring adherence to procedures and timely resolution.
• Assess claims validity, estimate values, and manage within mandate limits.
• Forward claims exceeding mandate to insurers and obtain quotes for required services.
• Ensure timely approval and payment of claims costs in line with coverage.
• Serve as the intermediary between insurers and clients, ensuring clear communication and timely updates.
• Manage recovery processes and follow up on claims progress.
• Adhere to company mandates and participate in special projects.
• Contribute to continuous performance improvements and share insights with the team.
• Maintain accurate records of all activities and report any suspected fraud or misrepresentation.