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Claims Assessor jobs in Gauteng

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    • Manage the claim from the claim registration to finalization.
    • Manage your time to ensure all short-term motor claims are attended to in set turnaround times.
    • Your expertise will be crucial in handling claims, renewals, and new business processes, as well as investment and risk product administration.
    • Assisting the team managing deadlines for claim submissions.
    • Assisting the team managing physical and electronic claim submissions.
    • Knowledge in utilising claims operating systems and tools (i.e., industry-standard claims management software, databases, and other technological tools used in…
    • Accurately inputting claim details into the claims management system and updating claim status throughout the process.
    • Courses in insurance (CISR or CEBS).
    • Conduct regular reviews of claims both individually and collaboratively in teams to evaluate the claim process and investigation techniques.
    • Manage the claims intake process for new claims, including gathering information from customers.
    • Responsible for the processing of claims made under the shared…
    • Duplicate check claims received, and process claims and emails according to processes.
    • Review and assess gap claims.
    • Process claims efficiently and accurately.
    • Investigate and resolve complex or disputed claims.
    • Proficiency in Microsoft Office and medical claims management systems.
    • Prior complaints handling or claims resolution experience.
    • Complaints handling and claims resolution, including support of the Customer Service mailbox.
    • To enhance the customer experience journey by quality assessing call centre interactions (calls, email, chat, other), enable low-risk and zero-surprises BAU and…
    • Minimum 2 years’ experience in a motor assessing or related claims environment.
    • Review and assess digital claims submissions using digital platforms and…
    • Conduct internal audits to ensure claim accuracy and compliance with APDP guidelines.
    • Compile regular reports and reconciliations on claims status and potential…
    • Handling of client calls and emails received in the call centre.
    • The responsibility of the Inbound Client Service Agent is not exhaustive and may change.
    • Ensure adherence to documented methodologies for claims inclusion and payment models.
    • Perform quality control checks on membership files throughout the claims…

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Job Post Details

Claims Assessor - job post

FirstRand
4.0 out of 5 stars
Johannesburg, Gauteng
Full-time
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Job details

Job type

  • Full-time

Location

Johannesburg, Gauteng

Full job description

Job Description

Responsible for the assessment, investigation, and validation of complex and high-value long-term insurance claims, ensuring alignment with the organisation’s strategic objectives, governance frameworks, and service standards. This job requires sound judgment to manage sensitive claims such as funeral, death, disability, dread disease, and retrenchment, while maintaining a strong focus on customer experience and risk mitigation.

Hello Future Motor Claims Handler,

Welcome to FNB, the home of the #changeables. We design for the shapeshifters and deliver products and services that make us incredibly proud of people that make it happen.

As part of our team in FR Short Term Insurance, you will be surrounded by unique talents, diverse minds, and an adaptable environment that lives up to the promise of staying curious. Now’s the time to imagine your potential in a team where experts come together and ignite effective change.

Are you someone who can:

  • Administrate Short Term Motor Claims

  • Manage the claim from the claim registration to finalization

  • Be customer centric.

  • Manage your time to ensure all short-term motor claims are attended to in set turnaround times

  • Manage customer and supplier complaints

  • Pay attention to details Manage personal development to increase own skills and competencies

You will be an ideal candidate if you have:

  • Matric is essential

  • Have an NQF Level 5 Certificate would be advantageous

  • Have 2 – 3 years' experience in claims call center environment, of which 1 to 2 years ideally in a Motor Claims

You will have access to:

  • Opportunities to network and collaborate

  • A challenging working environment that is progressive and agile

  • Opportunities to innovate where initiative is taken and owned end to end

We can be a match if you have the following:

  • Adaptable and curious

  • Have a proven successful track record.

  • Thrive in a collaborative environment.

Apply now if you are interested in taking the next step. We look forward to engaging with you!

All appointments will be made in line with FirstRand Group’s Employment Equity plan. The bank supports the recruitment and advancement of individuals with disabilities. In order for us to fulfill this purpose, candidates can disclose their disability information on a voluntary basis. The Bank will keep this information confidential unless we are required by law to disclose this information to other parties.


Important Closing Date Note

Take note that applications will not be accepted on the below date and onwards, kindly submit applications ahead of the closing date indicated below.

06/07/26

All appointments will be made in line with FirstRand Group’s Employment Equity plan. The Bank supports the recruitment and advancement of individuals with disabilities. In order for us to fulfill this purpose, candidates can disclose their disability information on a voluntary basis. The Bank will keep this information confidential unless we are required by law to disclose this information to other parties.

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