23 Claims specialist Jobs and Work in Sandton Gauteng

Insurance Claims Specialist
Braveheart Financial Services (Pty) Ltd —Johannesburg North, Gauteng
- R20 000 - R30 000 a month
Quick Apply
12d
Claims Support Specialist
Oneplan Underwriting Managers (Pty) Ltd. —Sandton, Gauteng
- Full-time
APDP Claims Specialist
Rohlig-Grindrod —Sandton, Gauteng
Warranty Specialist
MSX International —Randburg, Gauteng
- R18 000 - R20 000 a month
- Full-time
Quick Apply
Billing Specialist
RTT —Johannesburg, Gauteng
Quick Apply
Quality Rectification & Claims Management Specialist
E Auto Motor SA (PTY) LTD —Johannesburg, Gauteng
- Full-time
Quick Apply
Senior Piping Engineer
Wood —Midrand, Gauteng
- Full-time
2d
Loss Adjusting Manager
Nedbank —Johannesburg, Gauteng
2d
Non-Motor Desktop Assessor High Net-Worth (Johannesburg)
Sanlam —Johannesburg, Gauteng
3d
Actuarial Pricing Manager
Bryte Insurance —Johannesburg, Gauteng
- Full-time
3d
Senior Actuarial Analyst: Non-Life
Nedbank —Johannesburg, Gauteng
4d
Query Resolution Officer (12 Months Contract)
Momentum Health Solutions —Sandton, Gauteng
- Temporary
5d
Logistics Specialist - CNS Logistics Africa
Metso —Germiston, Gauteng
9d
Senior Lawyer, Corporate/Commercial (Digital Legal Delivery)
Herbert Smith Freehills —Johannesburg, Gauteng
- Full-time
9d
Team Leader - Claims
Discovery Ltd. —Sandton, Gauteng
9d
Senior Client Executive - Construction
Marsh —Johannesburg, Gauteng
- Full-time
10d
Head : Distribution
iTOO —Parktown, Gauteng
12d
Senior Contracts Engineer
Lucy Electric —City of Johannesburg, Gauteng
Medical Authorisations & Denials Coordinator
Affinity International —Johannesburg, Gauteng
- Full-time
- Remote
Quick Apply
Medical Billing & Client Support Specialist
Affinity International —Johannesburg, Gauteng
Quick Apply

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Insurance Claims Specialist

Braveheart Financial Services (Pty) Ltd
Johannesburg North, Gauteng

Quick Apply

Job Details

Permanent
R20 000 - R30 000 a month
12 days ago

Full Job Description

Insurance Claims Specialist

The role is primarily office-based and requires strong attention to detail, excellent communication skills, and the ability to work under pressure.

Key Responsibilities

Gather complete and accurate details of insurance claims from clients.
Assess and process motor, personal, commercial insurance claims.
Work with insurers and loss adjusters to investigate and validate claims.
Liaise with clients, underwriters, service providers, and other stakeholders throughout the claims process.
Ensure clients receive fair settlements in accordance with policy terms and conditions.
Maintain regular communication with clients to provide updates and ensure excellent customer service.
Prepare, review, and maintain accurate claims documentation and records.
Manage Motor Aggregate Funds by monitoring, allocating, and reconciling claims the to pay multiple motor-related claims under an agreed facility or annual limit. This includes ensuring claims are paid within the available aggregate amount, tracking fund utilisation, identifying potential shortfalls, and providing accurate reporting to insurers and management.
Liaise with Medical Aid Schemes regarding member benefits, authorisations, claims submissions, and payment queries to ensure timely processing and resolution of healthcare-related claims.
Handle claims involving Long-Term Insurers, including life, disability, income protection, and critical illness policies, ensuring compliance with policy requirements, gathering supporting documentation, and facilitating efficient claim settlements.

Skills and Competencies

Strong analytical and problem-solving skills.
Ability to understand and interpret technical insurance information.
Sound decision-making and judgement.
Excellent numerical and financial reconciliation skills.
Strong interpersonal and communication abilities.
Effective negotiation and conflict-resolution skills.
High level of accuracy and attention to detail.
Ability to prioritise workloads and meet tight deadlines.
Ability to work independently and use initiative.
Proficiency in Microsoft Excel.

Work Environment

Primarily office-based with regular interaction with clients, insurers, brokers, medical aid administrators, long-term insurers, assessors, and service providers.
Fast-paced environment requiring effective time management and the ability to manage multiple claims simultaneously while maintaining high standards of customer service and regulatory compliance.

Pay: R20 000,00 - R30 000,00 per month

Experience:

Insurance: 5 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims specialist jobs in sandton gauteng

Insurance Claims Specialist

Claims Support Specialist

APDP Claims Specialist

Warranty Specialist

Billing Specialist

Quality Rectification & Claims Management Specialist

Senior Piping Engineer

Loss Adjusting Manager

Non-Motor Desktop Assessor High Net-Worth (Johannesburg)

Actuarial Pricing Manager

Senior Actuarial Analyst: Non-Life

Query Resolution Officer (12 Months Contract)

Logistics Specialist - CNS Logistics Africa

Senior Lawyer, Corporate/Commercial (Digital Legal Delivery)

Team Leader - Claims

Senior Client Executive - Construction

Head : Distribution

Senior Contracts Engineer

Medical Authorisations & Denials Coordinator

Medical Billing & Client Support Specialist

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