Short-Term Claims Consultant – Pretoria

About the role

Our client, a leading financial services provider specializing in Healthy Home Insurance, is seeking a dedicated Short‑Term Claims Consultant to join their dynamic team in Pretoria. The role involves managing the end‑to‑end claims process while delivering empathetic service to policyholders.

Key responsibilities

• Process claims from registration through assessment, validation and settlement, ensuring accurate entry into the claims management system and adherence to Service Level Agreements.
• Serve as the primary point of contact for clients, gathering documentation, explaining procedures, providing updates and escalating complex cases to the Team Leader.
• Investigate claim validity, review documentation, collaborate with assessors and experts, and identify potential fraud or suspicious activity.
• Coordinate with third‑party service providers such as assessors and repairers to achieve swift resolutions and contribute to internal process improvements.
• Maintain compliance with company policies, industry regulations and Treating Customers Fairly principles, and prepare regular claims reports for the Team Leader.

Required profile

• Matric Certificate and RE5 Regulatory Examination certificate.
• Minimum 2 years’ experience in short‑term insurance claims processing, focusing on building and content.
• Strong knowledge of non‑motor short‑term insurance products and claims workflows.
• High attention to detail, accuracy and ability to work under pressure while managing multiple tasks.
• Client‑focused attitude with excellent communication and problem‑solving skills.

Required skills

• Proficiency in Microsoft Office.
• Experience with specialised claims management systems.