Senior Claims Handler

Hire Resolve, on behalf of a reputable short-term insurance company, is seeking a Senior Claims Handler to join their dynamic team. The ideal candidate will be responsible for managing the full claims process—from registration to final settlement—ensuring accuracy, efficiency, and excellent client service throughout. This is a permanent role based in Bryanston, offering the opportunity to work in a fast-paced, customer-focused environment where your expertise and attention to detail will be highly valued..

Responsibiltiies

Claims Process Management

• Maintain claims standards and provide high-quality client service.

• Register motor and non-motor claims for personal and commercial policies.

• Appoint assessors and confirm adequate policy cover.

• Manage claims from registration to final settlement.

• Gather and verify information related to claims from clients and involved parties.

• Review completed forms and check against policy cover.

• Consult internally to determine claim outcomes and compensation.

• Communicate outcomes to clients in writing.

• Refer complex claims to specialists such as loss adjusters.

• Determine claim merits based on investigations and reports.

• Settle claims within authority limits to avoid financial leakage.

• Continuously adjust reserves as needed.

• Arrange:

  • Car hire for undrivable or stolen vehicles.

  • Contractors to assist clients in obtaining necessary documents.

• Manage the salvage process through to recovery payments.

• Follow up with assessors and loss adjusters as required.

• Negotiate claims with clients, service providers, and insurers.

• Maintain detailed and dated notes on claim files.

• Escalate potential errors or omissions to the Claims Manager.

• Finalise and file claim documentation.

• Ensure compliance with operational standards and company procedures.

• Perform daily system updates (e.g., diaries and mail).

• Handle internal and external complaints promptly.

• Ensure timely resolution of queries and complaints.

• Provide insurer feedback and reports per timelines.

• Facilitate a positive claims experience.

• Maintain strong relationships with clients, colleagues, insurers, and service providers.

• Update underwriting items post-claim completion.

• Maintain records of all client reports.

Customer Service

• Deliver quality service and meet functional targets in compliance with policies and standards.

• Resolve escalated client complaints and provide feedback.

• Align work routines with operational schedules to meet service goals.

• Share knowledge and help create new processes to maintain service quality.

Team Collaboration

• Align behavior with organizational values and culture.

• Share knowledge of products, processes, and systems with colleagues.

• Work collaboratively with the Claims team to meet service expectations.

Technology and Process Improvement

• Follow company policies and procedures consistently.

• Identify and suggest process improvements.

• DOFA confirmation from FSB is required.

• Familiarity with Cardinal 360 system is advantageous.

Requirements

Education:

• Matric (Grade 12)

• Relevant NQF Level 5 qualification

• RE5 Examination Level 1

• Commercial and Personal Lines Class of Business Certification

Experience:

• Minimum 4 years of experience with a claim-settling mandate

• At least 5 years of experience in the short-term insurance industry

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Critical Competencies

Knowledge:

• Strong understanding of the short-term insurance industry

• Familiarity with financial services industry

• Adherence to company policies and procedures

• Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)

• Knowledge of FICA and POPIA regulations

Skills:

• Team collaboration and support

• Multitasking and prioritization

• Time management and efficiency

• Ability to work independently and in teams

• Strong interpersonal and communication skills

• Excellent planning and organization

Attributes:

• Analytical and logical thinking

• Fast and proactive worker

• Professional and diplomatic

• Ethical and reliable

• Resilient in high-pressure environments

• Positive and solutions-focused

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 “Senior Claims Handler” 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