Claims Consultant

Claims consultants/specialists are professionals who work in the insurance industry. A claims consultant oversees the processing and review of insurance claims. Their main duty is to review and adjust insurance claim applications. They determine the validity of a client’s insurance claim and determine if they are eligible for coverage by their insurance policy. Claims consultants make sure that there are no fraudulent activities associated with the claim application. They check whether all insurance claims are legit and legal. When an unfortunate event such as an accident, robbery, or loss of life involving people with an insurance policy, the claims consultant is the first person they contact.

For one to be a claims consultant a degree in risk management or equivalent is required, however, it is not a pre-requisite. Some companies only require a matric certificate/high school diploma, paired with some experience in the industry, for you to become a claims consultant. You may start as an intern selling insurance policies to people then work your way towards being a claims consultant. A claims consultant must be observant and analytical in nature. Investigative skills are an asset to this job, there is a strong need to pay attention to details to the finite margin. A claims consultant has an average salary of R206,314 per year in South Africa.

The duties of a claims consultant

• Reviewing and processing insurance claims.
• Communicate with clients and attend to queries and questions
• The Preparation and negotiation of settlements.
• when necessary, provide court testimonies.
• Process and resolve claims in a timely manner.

Qualifications and requirements

A degree in risk management or equivalent is required, however, it is not a pre-requisite. Some companies only require a matric certificate/high school diploma, paired with some experience in the industry, for you to become a claims consultant.

Skills required

• interpersonal and communication skills
• investigative skills
• negotiation and decision-making skills
• analytical skills
• active listening skills
• time management skills
• the ability to work well under pressure
• attention to detail
• excellent report-writing skills

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