Claims Consultant

To provide stakeholders (e.g. clients, account executives) with efficient claims advice and administration according to the required standards and procedures in support of the business strategy.

• Ensure appropriate minimisation of claims and claims expenses.
• Ensure and contribute to minimisation of general expenses.
• Ensure that all stakeholder (e.g. clients, insurers) communication is accurate, time‑o‑us, professional and relevant.
• Build and maintain mutually beneficial relationships with internal (e.g. account executives) and external (e.g. clients) stakeholders.
• Keep client informed regarding progression of the claim.
• Ensure and contribute to achieving the required client satisfaction targets.

• Adhere to company quality standards and broader regulatory frameworks for claims administration processes.
• Receive claims notification, and send and obtain any relevant forms or documents as may be required.
• Administer complete claims process according to defined claims procedures until claims are settled.
• Appoint assessor or loss adjuster and apply policy terms and conditions.
• Keep internal system and records up to date at all times.
• Keep relevant internal stakeholders up to date on the progress of registered claims.
• Make assessment of claims validity and estimate value and administer mandated claims.
• Forward claims in excess of mandate to insurer.
• Arrange approval and payment for claims costs in line with claims and cover.
• Act as intermediary between insurer and client and time‑ly relay communication, requests and documentation.
• Follow the recoveries process, daily follow‑ups and keep clients informed.
• Ensure productivity targets are met.
• Contribute towards and ensure continuous improvement in own and team performance.
• Adhere to company mandates, participate and contribute in ad‑hoc projects, report any suspected fraud, misrepresentation and/or dishonesty, keep accurate record of own activities.