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Results for claims consultant. in "claims consultant." in Jobs in South Africa in South Africa
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Requirements Matric Certificate. RE5. NQF5 Wealth Management. A tertiary qualification in Insurance, Business Administration, or a related field is advantageous. Relevant certifications in life insurance or claims processing are preferred. At least 2 years of experience in life insurance claims processing or a related role. Experience in the insurance or financial services industry is essential.
https://www.jobplacements.com/Jobs/L/Life-Claims-Consultant--Pretoria-1196009-Job-Search-6-20-2025-3-29-37-AM.asp?sid=gumtree
7mo
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Role RequirementsQualifications- Matric Certificate.- RE5 qualification.Experience- Minimum of 2 years experience in short-term insurance (building and contents) claims processing or a related role.- Experience within the insurance or financial services industry is essential.Skills & Competencies- 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.Should you not receive a response within 10 working days, please consider your application unsuccessful.
https://www.jobplacements.com/Jobs/S/Short-Term-Claims-Consultant-RE5-Pretoria-East-1253240-Job-Search-01-19-2026-04-36-31-AM.asp?sid=gumtree
5d
Job Placements
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Key Responsibilities:Analyse IOD claims to verify medical expenses and identify potential recoveriesSubmit and monitor IOD claims with SAPS and relevant administratorsPrepare detailed reports on claims trends, recovery tracking, and issue escalationEnsure all information is verified, completed, and submitted accurately and on timeMaintain relationships with SAPS, members, providers, and administratorsRequirements:NQF Level 7 Nursing QualificationSANC Registration4+ years of experience in:Medical Third Party ClaimsAdministration ServicesCase Management in medical schemesExperience in ICD10/CPT codingProven ability to manage third-party processes and resolve escalationsSkills & Competencies:Claims and recoveries managementSAPS liaison and provider engagementReport writing, auditing, and case analysisStrong ethics, compliance, and governance focusCollaboration, communication, and accountability
https://www.jobplacements.com/Jobs/C/Consultant-IOD-Recoveries-1203600-Job-Search-07-16-2025-04-23-24-AM.asp?sid=gumtree
6mo
Job Placements
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In-house Claims ConsultantJoin a South African Financial Service Provider supporting complex medical claimsMedical Malpractice | Rosebank, Johannesburg | R15,000 gross per monthAbout Our ClientOur client is a South African financial services provider specialising in medical malpractice and healthcare-related claims. The business is known for its focused expertise in this niche area, a collaborative working environment, and a commitment to supporting clients through complex and sensitive legal matters.The Role: In-house Claims ConsultantThis role exists to support the existing claims team by assisting with day-to-day administrative duties and managing simpler medical malpractice matters. It offers hands-on exposure to medical negligence work and provides a solid foundation for growth within a specialised claims and legal environment.Key Responsibilities02 years relevant administrative or claims-related experience supporting case or file managementAssist the claims team with administrative and case management tasksSupport the handling of simpler medical malpractice claimsDraft and prepare basic legal documentation and correspondenceLiaise with internal team members to ensure claims are progressed efficientlyMaintain accurate and up-to-date records and case filesAbout You02 years of experience in an administrative, legal support, or claims-related roleStrong attention to detail and ability to manage documentation accuratelyGood written communication skills for drafting correspondenceAbility to work methodically and manage multiple tasksProfessional, reliable, and able to work effectively within a team
https://www.jobplacements.com/Jobs/I/In-house-Claims-Consultant-1250811-Job-Search-1-13-2026-6-12-07-AM.asp?sid=gumtree
11d
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Employer DescriptionInsurance company that provides a range of financial services.Job DescriptionYour duties will encompass:Build, maintain, and create strong dealer relationships.Generate new sales with each client account.Drive area sales and profit plans to budgeted targets through successful leadership, organizational plans, customer service, and outstanding execution of all field operations strategies, consistently across all dealerships.Maintain strong relationships with existing clients and seek avenues to gain new potential clients.Negotiate contracts with clients and establish a timeline of performance.Collaborate with sales team to maximize profit by upselling or cross-selling.Maintain in-depth product knowledge and educate customers about our products.Maintain an understanding of the claims process and train the associated workshops on our claims processes and procedures.Understand and manage business by effectively using sales reports, assessing departmental results, and developing specific actions directly related to business development and growth consistently across all dealerships.Develop strong working relationship with potential clients for new business opportunities within the assigned area.Manage Dealers sales, claims and loss ratios.Qualificationshttps://www.jobplacements.com/Jobs/P/PAM-17646-Dealer-Consultant-Insurance--Western-Ca-1252477-Job-Search-1-16-2026-6-13-07-AM.asp?sid=gumtree
8d
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Position: Liaison Consultant - Luxury Furnishings & Finishes Location: Cape Town - GardensSalary: R20 000 – R25 000.Neg DOE with Benefits Market Sector of high-end architectural design finishing fabrics, textiles and High-End Decor. Specializing in exclusive, products, directed for Architects, interior Designers and discerning homeowners seeking sophisticated, high-quality fabrics and furnishings.REQUIREMENTS:National senior certificateMinimum 6 years’ experience in a similar role in customer serviceKnowledge of textiles/fabric industryProven customer support experienceExcellent communication skills (written and verbal)Problem solving skillsAbility to work under pressure in a fast-paced environmentVery good attention to detailExceptional Interpersonal skillsAbility to multitask, prioritize & manage time effectivelyMust have own reliable transportRequired to work every second Saturday from 09:00 till 14:00MAIN DUTIES:Customer Satisfaction & Claims Management: Ensure high levels of customer satisfaction by efficiently handling product claims, credits, and returns in line with company policies.Claims Investigation & Resolution: Conduct thorough investigations into claims, documenting findings and ensuring timely resolutionSales Team Support: Provide proactive support to Sales Managers and Consultants, assisting with queries and complaints.Query Resolution: Address and resolve general customer and internal queries with professionalism and accuracy.Administrative & Ad Hoc Tasks: Perform general administrative duties and assist with ad hoc tasks as required to support team operations.Passionate for creating, engaging with top designers, inspiring spaces, guiding clients in selecting the perfect fabrics, finishes, and decor elements, and transforming their visions into reality.This Role Is For You?Apply Now, with! Lumina PersonnelSubject Line: Client Liaison - Gardens
https://www.jobplacements.com/Jobs/L/Liaison-Consultant-Luxury-Furnishings--Finishes-1250808-Job-Search-01-13-2026-02-00-21-AM.asp?sid=gumtree
11d
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Our client requires a Claims Handler. Your:Formal Education:MatricRE 5 Examination Level 1Class of Business: Commercial and Personal Lines NQF 5 in short term insuranceExperience:At least 5 years short term experience and 4 within the claims environment.will enable you to do the following duties:Claims Registration and Acknowledgement:Receive, review, and register new claims via phone, email, or digital channels.Acknowledge receipt of claims to clients within stipulated turnaround times.Initial Assessment and Documentation:Collect all necessary documentation from clients to substantiate claims (e.g., claim forms, supporting evidence, police reports, photographs, invoices).Assess policy coverage, terms, and conditions for each claim.Request additional information from clients or third parties when required.Investigation and Evaluation:Conduct investigations through interviews, site visits, and consultation with service providers or loss adjusters.Verify the legitimacy and validity of claims.Apply technical knowledge to interpret policy wordings and determine liability.Claims Processing and Settlement:Calculate and agree settlement amounts in line with policy terms, ensuring fairness and compliance.Negotiate settlements with clients, service providers, and, where necessary, legal representatives.Authorise and process payments within designated authority limits.Customer Service and Communication:Maintain regular communication with clients throughout the claims process, providing updates and managing expectations.Respond to queries, complaints, and escalations in a timely and professional manner.Deliver empathetic service during potentially stressful situations for clients.Fraud Detection and Prevention:Identify potential fraudulent activity and escalate cases in line with company procedures.Work closely with internal audit and fraud prevention teams as required.Reporting and Documentation:Maintain accurate records and documentation for all claims handled.Prepare and submit reports for management, compliance, and regulatory purposes.Continuous Improvement and Compliance:Stay informed of changes to insurance legislation, industry trends, and best practices.Participate in training and development opportunities to enhance skills and knowledge.Adhere to company policies, procedures, and ethical standards at all times.
https://www.jobplacements.com/Jobs/C/Claims-Handler-Short-Term-Insurance-1250073-Job-Search-1-11-2026-4-39-08-AM.asp?sid=gumtree
13d
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The successful candidate will be responsible for delivering exceptional customer experiences by efficiently managing homeowners and buildings insurance claims from start to finish. This role balances timely and fair claim resolution with risk management, compliance, and service excellence, ensuring alignment with regulatory requirements and company standards.Claims Management & Technical DeliveryAssess, authorize, and resolve homeowners claims within mandate, productivity targets, and turnaround timesApply policy wording accurately to ensure fair and compliant claim outcomesManage claim approvals, rejections, and settlements in line with regulatory requirementsAppoint and manage relationships with panel-approved experts, ensuring correct application of building tariffs and ratesAnalyze reports and quotations to support prompt, informed decision-makingMaintain accurate claim records using claims management systems and digital toolsCustomer Experience & CommunicationDeliver clear, professional, and empathetic communication throughout the claims journeyHandle complaints and difficult customer interactions calmly, assertively, and fairlyExplain technical claim outcomes to customers and stakeholders in a clear and accessible mannerRisk Awareness & InvestigationAnalyze claims history and reported incidents to identify trends, risks, or anomaliesEscalate suspicious or potentially fraudulent activity in line with internal processesEngage constructively with loss adjusters and technical specialists to debate and resolve complex claimsStakeholder EngagementBuild and maintain strong working relationships across internal and external stakeholdersCollaborate daily with Finance, Customer Contact Centres, Policy Administration, Procurement, and ManagementEngage with service providers including loss adjusters, engineers, quantity surveyors, and forensic specialistsSupport internal and external audit processes as requiredEducation ProfileMatric (Grade 12)Minimum 4 years short-term insurance experience, preferably in homeowners claimsStrong ability to interpret technical reports and communicate outcomes accurately to customersFETC: Short-Term Insurance (NQF Level 4)RE5Strong technical claims judgement and problem-solving abilityExcellent verbal and written communication skillsAbility to work under pressure, meet deadlines, and manage high workloadsEthical, decisive, confident, fair, and detail-oriented Strong sense of a
https://www.jobplacements.com/Jobs/C/Claims-Consultant-1249556-Job-Search-1-8-2026-8-52-41-AM.asp?sid=gumtree
16d
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Our client, with a national footprint, requires someone who can fulfil the position of Senior Wealth Assistant. Your:Formal Education:MatricNQF 5 & 6 would be advantageous (In Wealth Management)Experience:5+ years experience in the investment financial services industry is essential3+ Experience in the broker support environment is essentialCompetencies:Proficient in English and Afrikaans (read, write, speak)Competent on service providers website functionalities (Investment and risk service providers)Service provider products (Investment and risk platforms)will enable you to:Processing new business for new and existing clients:Ensure all documentation and information is prepared in accordance to company policiesFollow up on outstanding/incomplete client business and consult with/remind the Wealth Manager/AdvisorHandling of retirement claims, mainly focusing on Public sector funds.Section 14 & Section 37 transfersAssist with Whole Life Cover, Keyman Insurance and Buy and Sell Insurance applications.Facilitate the Transfer from Living Annuity to Life Annuity processServicing of existing clients:Assist with the review of clients Wills in consultation with the Wealth Manager/AdvisorMake payments on behalf of clients through the Investec corporate saver accountAttend to client complaints and enquiries in consultation with Wealth Manager/AdvisorGeneral Administration:Ensure that client documentation is in compliance with FICA & FAIS legislationRecording of client interaction and updating of client records upon completion of interactionMaintain client record and database according to company policiesAttend to Death Claim processes and documentationCorrect and timeous completion and submission of Fee Forms as well as all internal documentation as per company policyAssistance with Wealth Special Projects on ad-hoc basisActively building relationships with clients via telephone, in person and via email.Proactively managing tasks and ensure that all instructions are attended to in an efficient way.
https://www.jobplacements.com/Jobs/S/SENIOR-WEALTH-ASSISTANT-1203407-Job-Search-7-16-2025-2-24-49-AM.asp?sid=gumtree
6mo
Job Placements
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Minimum requirements:Must have completed grade 12Must have valid drivers license and own reliable vehicleFully bilingual in Afrikaans and English (Non negotiable)Will be assisting the sales team by following up on leads on ZOHOLead Response - 1st Response Same-day (Product & Channel knowledge, 2nd follow upLEAD the account onboarding process i.e complete docs, submissionsWill be responsible for product training, sales training, webinar and eventsMust have good working experience with MS Office Suite including PowerPoint, Excel and WordSales coordination - create sales documents (Info sheets and presentations)Lead the tender response effortBe the single point of contact between sales and the contracts, projects and servicesEnsure company stationary folder is kept up to date with the correct templates (S & T claims, expenses claims, letter heads etcMust be comfortable working with re-sellers and also working in a teamMust be willing to roll up sleeves and assist the team as and when necessaryConsultant: Heidi Diedericks - Dante Personnel Pretoria Silver Lakes
https://www.jobplacements.com/Jobs/I/Internal-Sales-Administrator-1243360-Job-Search-01-20-2026-00-00-00-AM.asp?sid=gumtree
4d
Job Placements
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Our client, an established company within the financial sector is seeking to hire a highly skilled and experienced SENIOR WEALTH ASSISSTANT to join their team. This is an excellent opportunity for an individual that is results-driven and a Team player to grow their career within a reputable organisation.The successful candidate will provide the required and relevant professional assistance to the Wealth Manager or Advisor in the administration and implementation of clients financial reviews, financial planning, retirement instruction, and investment instructions.Formal Education:MatricNQF 6 (Advanced Certificate in Wealth Management/Advanced Certificate in Financial Planning, or related)Experience:5+ years experience in the investment financial services industry is essential3+ Experience in the broker support environment is essential.Knowledge:Proficient on Microsoft Office (Word, Excel, PowerPoint, Outlook)Proficient in English and Afrikaans (read, write, speak)Competent on service providers website functionalities (Investment and risk service providers)Service provider products (Investment and risk platforms)Duities:Processing new business for new and existing clients:Ensure all documentation and information is prepared in accordance with company policies;Follow up on outstanding/incomplete client business and consult with/remind the Wealth Manager/Advisor;Handling of retirement claims, mainly focusing on Public sector funds;Section 14 & Section 37 transfers;Assist with Whole Life Cover, Keyman Insurance, and Buy and Sell Insurance applications;Facilitate the Transfer from Living Annuity to Life Annuity process.Servicing of existing clients:Assist with the review of clients Wills in consultation with the Wealth Manager/Advisor;Make payments on behalf of clients through the Investec corporate saver account;Attend to client complaints and enquiries in consultation with Wealth Manager/Advisor.General Administration:Ensure that client documentation complies with FICA & FAIS legislation;Recording of client interaction and updating of client records upon completion of the interaction;Maintain client records and database according to company policies;Attend to Death Claim processes and documentation;Correct and timeous completion and submission of Fee Forms as well as all internal documentation as per company policy;Assistance with Wealth Special Projects on an ad-hoc basis;Actively building relationships with clients via telephone, in person, and via email;Proactively managing task
https://www.jobplacements.com/Jobs/S/SENIOR-WEALTH-ASSISTANT-1255036-Job-Search-1-23-2026-5-46-12-AM.asp?sid=gumtree
1d
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Minimum requirements: Matric (Grade 12) Trade Test Certificate Panel Beater or Motor Body RepairMinimum 5 years hands-on experience as a Panel BeaterAt least 23 years in a supervisory or workshop management roleExperience with accident-damaged vehicle repairs and insurance claim processesStrong understanding of body alignment, welding, dent repair, and spray-painting techniqueTo manage the daily operations of the panel beating and body repair workshop, ensuring the efficient repair of damaged vehicles to manufacturer standards.Overseeing staff, managing workflow, ensuring health and safety compliance, maintaining quality standards, and delivering on turnaround time and customer satisfactionConsultant: Michelle Du Toit - Dante Personnel East Rand
https://www.jobplacements.com/Jobs/W/Workshop-Manager-Panel-beater-1196370-Job-Search-06-20-2025-10-36-30-AM.asp?sid=gumtree
7mo
Job Placements
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