Claims Administrator

Hire Resolve is seeking a skilled and detail-oriented Claims Administrator for our esteemed client, a well-established insurance brokerage based in Kloof, KwaZulu-Natal. Our client, a Lloyd’s of London-approved Open Market Correspondent, specializes in providing tailored insurance solutions and is looking for a professional who can efficiently manage claims while delivering top-tier client service.

Responsibilities

• End-to-end management of short-term insurance claims across multiple lines (commercial, personal, liability, marine, etc.).
• Ensure accurate claims registration, validation, and assessment in accordance with policy terms and regulatory requirements.
• Liaise with insurers, underwriters, and loss adjusters to facilitate claims processing and settlement.
• Monitor claims progress and proactively follow up to ensure timely resolution.
• Maintain accurate and up-to-date claim records on internal systems.
• Serve as the primary contact for clients throughout the claims process, ensuring a smooth and supportive experience.
• Negotiate with insurers to secure the best possible outcome for clients.
• Provide clear, concise communication to clients regarding claim decisions, next steps, and expectations.
• Identify and escalate any potential fraudulent claims for investigation.
• Ensure all claims processes align with FAIS, FICA, and other relevant insurance regulations.
• Prepare and submit claims reports for internal use and compliance audits.
• Stay updated on legislative changes affecting insurance claims and communicate relevant updates to the team.
• Assist in risk assessment and claims trend analysis to improve underwriting processes.

Requirements

• Fully FAIS compliant (meeting the requirements of the Financial Advisory and Intermediary Services Act).
• RE5 qualification (Regulatory Exam for Representatives).
• A relevant insurance or risk management qualification (e.g., Higher Certificate in Short-Term Insurance, NQF Level 4 or higher) will be advantageous.
• Minimum 2-5 years of experience in short-term insurance claims administration.
• Strong knowledge of short-term insurance policies and claims handling procedures.
• Familiarity with Lloyd’s of London claims processes (advantageous but not essential).
• Proficiency in insurance claims management systems and MS Office Suite (Word, Excel, Outlook).
• Excellent attention to detail and accuracy in data processing.
• Strong problem-solving, negotiation, and dispute resolution skills.
• Ability to work independently and manage multiple claims simultaneously.
• Exceptional verbal and written communication skills.
• Customer-focused with a high level of professionalism and empathy.

Benefits

• Market-related salary

• Contact Hire Resolve for your next career-changing move today

  • Apply for this role today, contact Gustav Vogel at Hire Resolve or on LinkedIn
  • You can also visit the Hire Resolve website: hireresolve.us or email us your CV: [email protected]
  • Please use “Claims Administrator” as your subject line when applying via email

  We will contact you telephonically in 3 days should you be suitable for this vacancy. If you are not suitable, we will put your CV on file and contact you regarding any future vacancies that arise