Junior or Senior Short Term Claims Consultant

Junior or Senior Short Term Claims Consultant

Job Title: Senior Claims Consultant
Location: Fourways Sandton South Africa
Employment Type: Full-Time
R15 000 - R20 000 pm

Are you an experienced, highly motivated, and detail-oriented insurance professional seeking an opportunity to elevate your career? Do you thrive on delivering exceptional service and achieving outstanding results for clients? If so, our dynamic and forward-thinking organization is searching for a Senior Claims Consultant to join our high-performing team. We are on the lookout for a dedicated leader who can take charge of complex claims processes, mentor junior staff, and embody excellence in every aspect of the role. If this sounds like you, keep reading—we want you on our team!
Why Join Us?

Impactful Role: As a Senior Claims Consultant, you will be at the forefront of our operations, ensuring that clients receive the most efficient and accurate service possible. You will play a central part in our mission to provide unparalleled claim solutions that reinforce our reputation as an industry leader.
Growth and Development: We are committed to fostering a culture of continuous learning. From in-house training and professional development programs to opportunities for skill enhancement, you will have every tool you need to sharpen your expertise.
Innovation-Driven Environment: We pride ourselves on leveraging cutting-edge technology and modern processes to streamline our workflow. You’ll have access to XPlan, one of the industry’s most robust software solutions, helping you maximize efficiency and boost your performance.
Supportive Team Culture: Collaboration is at the heart of our success. We believe that the best solutions come from collective insights and teamwork. You’ll work alongside professionals who are just as passionate and driven as you are.

Key Responsibilities

End-to-End Claims Management: Oversee the entire claims lifecycle, including filing, documentation, adjudication, and follow-ups. Ensure seamless claim processes and compliance with industry standards and internal protocols.
Client Engagement: Serve as a trusted adviser to our clients, answering their questions, addressing concerns, and providing expert guidance. Communicate regularly with stakeholders to ensure they are updated on claim statuses.
Quality Assurance: Implement robust audit procedures to ensure the accuracy, completeness, and timeliness of claims. Maintain meticulous records in XPlan and keep all data well-organized for quick retrieval and reporting.
Regulatory Compliance: Uphold all FAIS (Financial Advisory and Intermediary Services) regulations and RE5 requirements. Keep abreast of legislative changes and ensure that company policies are in full alignment with local regulations and industry best practices.
Strategic Leadership: Collaborate with management to improve claim workflows, reduce turnaround times, and enhance customer satisfaction metrics. Provide insights and recommendations that help shape company-wide policies and strategies.
Team Mentorship: Offer guidance and support to junior consultants, sharing best practices and helping them develop their skill sets. Foster an atmosphere of learning and professional growth within the team.

Required Qualifications and Experience

Educational Background: A Bachelor’s degree or equivalent qualification in Insurance, Finance, Risk Management, or a related field.
Licensing and Certification:
RE5 Certificate: Required for compliance with South African insurance industry standards.
FAIS Accreditation: Demonstrable compliance with FAIS fit and proper requirements.
Technical Proficiency:
Proficient in XPlan and other relevant insurance or financial software.
Strong computer literacy, including the Microsoft Office Suite.
Industry Experience: A minimum of 3–5 years’ experience handling claims in the short-term or long-term insurance sectors. Exposure to complex and specialized claims will be highly advantageous.
Excellent Communication Skills: Ability to articulate complex information clearly and professionally, both verbally and in writing.
Analytical Aptitude: Strong problem-solving skills with a keen eye for detail, ensuring that all claims are handled efficiently and effectively.
Leadership Abilities: Capable of mentoring others, resolving conflicts, and fostering a team-oriented environment.

What We Offer

Competitive Compensation: We believe in rewarding hard work and expertise with an attractive salary and performance-based bonuses.
Comprehensive Benefits: From medical aid and retirement plans to wellness programs, we support your well-being so you can bring your best self to work every day.
Ongoing Professional Development: Access to specialized training workshops, conferences, and industry events to keep you ahead of the curve.
Collaborative Workspace: Work alongside highly skilled professionals in an environment that encourages sharing ideas and innovations.
Career Progression Path: We value our employees’ ambitions and empower them to move into leadership roles as their skills and interests evolve.

Are You Ready to Make a Difference?

This is your chance to step into a pivotal role where you can make a substantial impact on both our clients and our organization. As a Senior Claims Consultant, you will have the power to shape outcomes, drive strategic initiatives, and lead a team toward achieving exceptional results. Every case you handle and every relationship you build will reinforce our reputation as an industry leader committed to excellence.
Take Action – Apply Now!

Seize this opportunity to advance your career in a supportive, growth-focused environment. We are excited to welcome a new team member who can bring passion, expertise, and leadership to our claims department. If you meet the above qualifications, have the RE5 and FAIS credentials, and are proficient in XPlan, we want to hear from you!

Submit your CV and cover letter to [email protected]

Join us and embark on an exciting journey where every claim is a new challenge, and every success is shared. Apply today and become a cornerstone of our mission to deliver unrivaled claims consulting services in the industry.

Should you Require More information on this vacancy please Email us at [email protected]

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