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Portfolio Claims Specialist

You will be processing, validation, negotiation and payment of individual broker specific portfolio of both motor and non motor claims for both Personal Lines and Commercial classes of business.

Working closely with an allocated portfolio of brokers, the Portfolio Claims Specialist will trim and coach binder and outsource brokers to make claims validation determinations in line with the company's standard operating procedures within a defined mandate. The Claims Specialist will furthermore action all claims that exceed the Brokers' mandate.

The Portfolio Claims Specialist may furthermore assist with complex and high value claim determinations (for both Motor and Non Motor within both Personal Lines and Commercial classes of business.

The Claims Specialist will process, validate and negotiate all liability claims in line with the Liability SOP and Guidelines as well as work closely with the Portfolio Claims Manager on all litigation matters.

Minimum Requirements:

  • Matric Certificate - Essential
  • RE 5
  • Higher Certificate in Short Term Insurance NQF 5 or Full Qualification NQF 4
  • Class of Business Certification (Personal Lines and Commercial Lines)
  • Must be compliant with FAIS Fit and Proper requirements with track record of working unsupervised.
  • Ms Office
  • Experience in liability and litigation matters 
  • At least 5 years relevant work experience in claims validations and settlement (Motor & Non Motor - Personal & Commercial Lines)
  • Work experience within a licensed insurer 
  • Experience in making claims settlement with mandate exceeding R50 000 

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