Claims Fulfilment Consultant

Are you a detail-oriented professional with a knack for precision and problem-solving? Bursaries Room is helping our client find a dynamic Claims Fulfilment Consultant to join their team in La Lucia, Durban. In this role, you will be crucial in managing and resolving claims efficiently, navigating systems with confidence and accuracy, and ensuring excellent service for customers.

About the Opportunity

This is an exciting full-time opportunity for someone who thrives in a fast-paced environment and can bring clarity to complex situations within the insurance sector.

Key Responsibilities

As a Claims Fulfilment Consultant, your main tasks will include:

• Authorizing and resolving insurance claims within set mandates and turnaround times.
• Applying your technical expertise to resolve issues using available tools and systems.
• Professionally handling customer complaints and claim rejections.
• Ensuring full compliance with regulatory agreements and claims handling protocols.
• Accurately managing payments, scheduling service provider appointments, and applying rates.
• Interpreting reports and quotes to facilitate prompt claim resolution.
• Operating claims systems and communication tools effectively (e.g., Outlook, SMS, Excel).
• Utilizing online resources like Google Maps to support claims processing.
• Treating customers fairly by accurately interpreting incidents and policy wording.
• Communicating technical details clearly with customers and loss adjusters.
• Investigating and reporting any suspicious activity as required.
• Engaging calmly and assertively with challenging customers, maintaining fairness and sensitivity.
• Collaborating with specialist service providers for comprehensive claim resolution.
• Building strong relationships with internal and external stakeholders to streamline processes and deliver exceptional service.

Minimum Requirements

To be considered for this role, you must meet the following criteria:

• A Matric certificate.
• Insurance-related qualifications are highly preferred (e.g., FETC: Short Term Insurance NQF 4, RE5).
• A minimum of 4 years of solid claims experience, with a preference for Homeowners/Building Claims experience.
• Strong computer literacy, including proficiency in Microsoft Excel, Word, and Outlook.

Location

La Lucia, Durban, KwaZulu-Natal

Salary

Market Related

How to Apply

If you possess the required skills and experience and are ready for this challenging yet rewarding opportunity, we encourage you to apply!

Please send your comprehensive CV directly to:

[email protected]