Claims Negotiator / Administrator - Short Term Insurance

SUMMARY:
Kloof - We are seeking a dynamic Claims Negotiator/ Administrator to join our client's team in the Short-Term Insurance sector. This role is perfect for someone who thrives in high-stakes environments, excels at communication, and is driven by the challenge of achieving optimal outcomes for both the insurer and the insured.

POSITION INFO:
As a Claims Negotiator, you will play a critical role in managing and negotiating complex insurance claims. Your expertise in the Short Term Insurance sector will be essential in achieving fair and efficient settlements while maintaining strong client relationships.

Key Responsibilities:

• Claims Negotiation: Take ownership of complex and high-value claims, utilizing your negotiation skills to settle claims in a manner that balances the interests of both the insurer and the policyholder.
• Client and Stakeholder Engagement: Act as the primary point of contact for claimants, brokers, and third parties, ensuring all parties are informed and that their concerns are addressed throughout the claims process.
• Liability Assessment: Conduct thorough investigations to assess the validity of claims, determine liability, and evaluate the potential impact on the business.
• Policy Analysis: Review and interpret insurance policies to confirm coverage, exclusions, and conditions that affect claim outcomes.
• Dispute Resolution: Address and resolve disputes related to claim settlements, leveraging your negotiation and conflict resolution skills to reach amicable solutions.
• Documentation and Reporting: Maintain accurate and detailed records of all claim negotiations and decisions. Prepare comprehensive reports on claim trends, outcomes, and areas for improvement to inform future underwriting strategies.
• Compliance: Ensure all claims are processed in accordance with company policies, industry regulations, and legal requirements, maintaining the highest level of compliance and ethical standards.
• Continuous Improvement: Provide feedback and insights to improve claims handling processes and contribute to the development of best practices within the team.

• Minimum 3 years of experience in claims administration/ negotiation in the short-term industry
• Completed NQF4 Level 4 Accreditation in Short Term Insurance (Non Negotiable)
• Class of Business : Domestic & Commercial Lines – Non-Negotiable
• FAIS Compliant
• Proficient in Microsoft Office and other relevant software.