Short-Term Claims Consultant; RE

Short-Term Claims Consultant (RE5) required in Pretoria.

The Short-Term Claims Consultant is responsible for the efficient and accurate processing of short-term insurance claims while delivering a high standard of client service.

The role involves managing claims end-to-end, ensuring compliance with regulatory and company requirements, and maintaining client trust through professional and empathetic engagement.

Salary: R35 000 per month.

• Claims Processing
  • Manage the end-to-end claims process, including registration, assessment, validation, and settlement.
  • Ensure claims are processed within agreed service level agreements (SLAs) and in line with regulatory requirements.
  • Accurately capture and update claims information on the claims management system.
• Client Service
  • Communicate with clients to obtain required information, explain claims procedures, and provide regular updates.
  • Address client queries and concerns professionally and empathetically to ensure a positive client experience.
  • Escalate complex or disputed claims to the relevant Team Leader when required.
• Investigation & Assessment
  • Assess claim validity through document review, investigation, and liaison with service providers.
  • Identify potential fraudulent claims and report suspicious activity in accordance with internal procedures.
  • Ensure accurate assessment of damages and costs in collaboration with assessors and other specialists.
• Collaboration & Stakeholder Engagement
  • Liaise with service providers such as assessors, repairers, and other third parties to facilitate claims resolution.
  • Work closely with team members and management to resolve challenges and improve claims processes.
• Compliance & Reporting
  • Ensure all claims handling adheres to company policies, industry regulations, and Treating Customers Fairly (TCF) principles.
  • Prepare and submit claims-related reports as required.

• Matric Certificate.
• RE5 qualification.

• Minimum of 2 years’ experience in short-term insurance (building and contents) claims processing or a related role.
• Experience with in the insurance or financial services industry is essential.

• Strong knowledge of non-motor short-term insurance products and claims processes.
• Excellent communication and interpersonal skills.
• Proficiency in Microsoft Office and claims management systems.
• High attention to detail and accuracy.
• Strong problem-solving and decision-making abilities.
• Ability to work under pressure and manage multiple priorities effectively.
• Professionalism, integrity, and strong customer focus.