Senior Claims Consultant

What will you do?

Efficiently and effectively process all claims submitted while maintaining accurate record-keeping of accepted, repudiated, and declined claims. Provide timely, professional feedback to internal and external stakeholders, ensuring adherence to compliance regulations and service level agreements (SLAs). 

What will make you successful in this role?

Process, assess, and authorize claims accurately and within agreed service levels
Investigate and resolve complex and escalated claims cases in line with company policies and regulatory requirements
Provide exceptional service and technical support to clients, intermediaries, and internal stakeholders
Ensure compliance with all applicable legislation, company policies, and risk management requirements
Detect, report, and escalate suspected fraudulent activities
Prepare operational reports, claims statistics, and stakeholder communications
Maintain and optimize claims processes, systems, and standard operating procedures (SOPs)
Provide training, mentorship, and technical guidance to junior team members
Collaborate with cross-functional teams to improve claims service delivery and operational efficiency
Stay abreast of industry developments, regulatory changes, and best practices in claims management

Qualification and Experience

School leaving certificate 
A Diploma in Business Administration or a related field will be an advantage
Minimum of 3 years of working experience in the insurance industry, particularly in a claims environment
Minimum of 2 years working experience in a senior position
Comprehensive product knowledge of insurance offerings will be a strong advantage

Knowledge and Skills

Full proficiency in English (verbal and written); knowledge of an additional local Namibian language will be a competitive advantage
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
Strong analytical and problem-solving skills
Excellent attention to detail and accuracy
Sound knowledge of claims administration and insurance regulations
Strong interpersonal, communication, and stakeholder management skills
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Strong intermediate skills in administration, record-keeping, and data management
Basic mathematical skills are required for accurate calculations and claims processing

Personal Attributes

Core Competencies

Build a successful career with us

We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping  our employees to realise their worth. Through its five business clusters – Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office – the group provides many opportunities for growth and development.

Turnaround time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers.