Senior Claims consultant (PTA) at Hollard Insurance

Job Purpose 

• The Senior Claims Consultant is responsible for managing claims allocated to the branch, in alignment with branch mandates and company standards. This role plays a key part in ensuring the efficiency and effectiveness of the claims department by upholding technical excellence and service quality. The incumbent will contribute to the growth and profitability of Hollard by ensuring accurate claims settlement, maintaining the department’s professional standards, and fostering strong relationships with internal and external stakeholders, thereby enhancing Hollard’s reputation.

Key Responsibilities:

•  Technical expertise: To evaluate and investigate all claims received in order to prevent possible leakage to the company in the settlement of claims.
• Customer service: Maintain a high level of service to customers (internal and external) according to service level agreements and within the service standards set by the company.
• Broker Support: Deliver advanced support, including binder brokers, exceeding routine claims processing by offering expert technical expertise and assistance. Participate actively in broker meetings to strengthen collaboration and ensure alignment on claims-related matters.
• Reporting: Create Excel reports to support claims analysis, trend identification, and decision – making processes.
• Effective and timeous communication: Communicate in a professional manner with internal and external parties and respond to queries within 24 hours.
• Registration: All claims received to be registered within 24 hours.

Required Knowledge and Experience    

• Good knowledge of Commercial & Personal Lines with at least minimum of 5 – 7 years’ experience.
• Mandate of R750,000.00 and above.
• Good communication skills oral and written (English and Afrikaans)
• Microsoft Excel proficiency must be at intermediate level. 
• Must have a solid understanding of the claims procedure
• Must be proficient in insurance terminology and FAIS compliant. 
• Underwriting knowledge (ability to interpret policy wording, understanding how claims information impacts on underwriting)
• Basic risk assessment knowledge (understand the assessment process, with an ability to appoint the right assessor)
• A basic understanding of reinsurance and treaties
• Must have product, legal (prescription act, insurance act, FAIS) & basic financial knowledge (estimates, premiums, co-insurance).

Educational Requirements    

• Grade 12 
• NQF 4 Insurance qualification or equivalent advantageous