Claims Learnership (X4 Positions – 12 Months)

Claims Learnership (X4 Positions – 12 Months)

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Closing Date: 24 February 2026
Reference Number: SAS260211-2
Job Type: Learnership
Division: Insurance Operations
Department: Claims
Occupational Level: Level 1 – Unskilled
Location: Sandton, Gauteng, South Africa

Job Overview

The Claims Learner will be responsible for processing and administering claims within delegated authority. This includes verifying claim validity, assessing liability, negotiating settlements, and delivering excellent customer service while maintaining cost control.

All claims must be managed in accordance with regulatory requirements and within the framework of short-term insurance compliance standards.

Minimum Requirements

Qualifications:

• Matric (Grade 12)

Experience:

• No prior experience required

Preference will be given to persons with disabilities.

Key Responsibilities

1. Claims Administration and Processing

• Perform administrative duties, including registering new claims and capturing or authorising payments.

• Review and validate new claims and supporting documentation.

• Assess claims in line with policy coverage and ensure alignment with company guidelines.

• Verify supporting documents related to claim amounts and confirm calculation accuracy.

• Maintain document diary records on the IMS system.

• Update reserves in line with company reserving policies and follow up on outstanding documentation.

• Apply sound judgment when evaluating claims exposure and determining appropriate settlement within delegated authority.

• Approve claims after verifying documentation and compliance with policy terms.

• Escalate complex or disputed claims to the Supervisor.

• Coordinate with external service providers in line with company procedures and philosophy.

• Maintain accurate and up-to-date claim notes on the system.

• Notify the underwriting department of any coverage gaps, missing documentation, or premium adjustments.

• Respond to customer queries promptly and professionally in accordance with company policy.

2. Broker and Agent Liaison

• Negotiate claim settlements where required.

• Communicate regularly with agents and brokers regarding claim progress.

• Provide updates to relevant stakeholders on claim status.

3. Additional Duties

• Carry out reasonable ad hoc tasks as assigned by the Line Manager.

Employment Equity Policy

The organisation is committed to Employment Equity in both internal and external recruitment. In line with company policy, internal candidates will be given priority consideration where this supports the achievement of Employment Equity objectives.

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