Permanent
Claims Consultant (RE5) - Roodepoort
Talent Evolution (Pty) Ltd
Unknown, Gauteng
unknown
About this role
Employer: Talent Evolution (Pty) Ltd
Role Purpose:
The Claims Consultant is responsible for processing and adjudicating motor and non-motor insurance claims in accordance with prescribed procedures and protocols.
The role ensures accurate claims handling, effective communication with stakeholders, and adherence to quality and productivity standards within a call centre environment.
Key Responsibilities:
Claims Processing & Adjudication
* Process and assess motor and non-motor insurance claims in line with company procedures
* Ensure accurate documentation, logging, and updating of claims on the relevant system
* Maintain high levels of accuracy and quality in all claims assessments
* Ensure compliance with policy terms, conditions, and underwriting requirements
Client & Stakeholder Communication
* Handle queries from policyholders, service providers, and internal stakeholders
* Provide professional and timely feedback on claims progress and outcomes
* Liaise effectively with service providers to ensure smooth claims processing
* Maintain a professional, friendly, and customer-focused approach at all times
Performance & Administration
* Meet daily, weekly, and monthly productivity and capture targets
* Ensure all claims-related administration is completed accurately and timeously
* Maintain proper records and ensure all required documentation is in place
Quality & Continuous Improvement
* Maintain quality standards in all work outputs
* Continuously improve knowledge of policy wordings, benefits, and claims procedures
* Participate in activities aimed at enhancing personal competence and performance