Claims Specialist

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Job TypeFull Time

Job Description

The Claims Specialist manages the assessment of claims and has specialised knowledge of the claims environment. There is a strong focus on accurately and efficiently resolving the claim received whilst ensuring exceptional customer service and satisfaction

Key Outcomes

The accurate and efficient processing of claims captured


Ad hoc duties- support in the operation of other divisions
Contribute towards continuous improvement and innovation at process and procedure level
To ensure that all claims processing and queries are attended to accurately and within the agreed turnaround time
Contribute toward risk management
Assist clients with queries and provide suitable query resolution
Accurate completion of administrative targets on a daily basis
Dealing with multiple telephonic queries from members, brokers and franchises
Ongoing feedback to clients
Ad hoc functions as required by Management


Work Experience


Insurance Industry Experience

Health Insurance Industry Experience

Education, Qualifications and Accreditation with Professional Body



FAIS / RE5 Accreditation with minimum 120 credits

Technical Skills or Knowledge


Computer Literate incl. Microsoft Access

Additional Information

Personal Attributes

Action Orientated
Strategic Thinking and Mental Models
Communication Skills
Simple Writing Skills
Manages Complexity
Problem Solving Skills
Creative Thinking
Decision Making SKills
Efficient and Effective Mindset
Financial Acumen
Planning and Organisation
Resilient and adaptive
Signancance and values orientated

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Job id : , #76453, 55 views,