APPLY HERE: https://senwes.mcidirecthire.com/External/Job?Ref=YPh2m60Io0KxhklmuEDIIAZrnQpBU8bFWV4xmPTyJyU
We’re looking for a dedicated professional to join our team in the role of Claims Consultant. The individual plays a key role in the effective handling, mediation, and verification of registered claims, ensuring accuracy and efficiency throughout the claims process.
1. Verification of Registered Claims
- Generate and maintain the Registered Claims Report.
- Perform comprehensive verification of all registered claims, including:
- Accurate department allocation
- Validation of premium payments
- Verification of peril codes
- Assessment of transaction estimates
- Review of supporting documentation
- Confirmation of timely claim submission.
2. Management of Problematic Claims
- Receive and evaluate queries from brokers.
- Identify and analyze the root cause of claim issues.
- Gather and document all relevant information.
- Refer matters to appropriate internal stakeholders.
- Prepare and maintain detailed progress reports.
- Escalate complex or unresolved issues to the Claims Manager as needed.
3. Claims Administration
- Receive and log registered claims submitted by brokers.
- Verify the authenticity and completeness of each claim.
- Update internal systems with accurate claim data.
- Oversee the end-to-end administration of claims, including:
- Appointing assessors and evaluating their reports
- Requesting and reviewing quotations
- Authorizing repairs, replacements, or cash settlements within mandate
- Managing salvage processes
- Referring specific claims to insurers as per mandate
- Submitting invoices or agreements of loss for payment authorization
- Capturing all relevant claim information in the system
- Referring recoveries and third-party claims to appropriate stakeholders
- Ensuring timely follow-up on all claim-related activities
- Maintaining organized records and documentation
- Responding to inquiries and resolving queries.
4. Communication and Reporting
- Communicate claim outcomes to brokers promptly.
- Coordinate and manage procurement processes related to claims.
- Compile and submit monthly management reports.
- Provide technical advice and support to brokers.
- Ensure adherence to all relevant Service Level Agreements (SLAs).
- Monitor claim trends per insured party and escalate to underwriting when necessary.
Requirements
- Microsoft office (Excel & Word)
- At least 5 years experience in a Short Term Insurance, Claims handling and Mediation
Qualifications:
- National Senior Certificate
Closing date: 13 January 2026
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