Claims Technician

Job Purpose

The Claims Technician – HART is responsible for the effective management, processing, and oversight of claims within the allocated portfolio, ensuring compliance with legal, regulatory, and Hollard standards.

The role contributes to operational efficiency, risk mitigation, and client satisfaction through accurate claims assessment, fair outcomes, and adherence to service levels

This role supports binder holder relationships and ensures consistent application of policy wordings, governance standards, and claims controls

Key Responsibilities

Claims Management & Processing

• Manage, process, and oversee all claims within the portfolio within agreed turnaround times.
• Interpret and apply policy terms and conditions, ensuring all validation checks are complete.
• Authorise claims above binder mandates in line with authority limits.
• Ensure appropriate controls are applied to all claims settlements.

Compliance, Governance & Risk

• Ensure adherence to legal requirements, regulatory frameworks, and internal policies.
• Apply scheme rules, business rules, and procurement requirements where applicable.
• Detect and manage fraud, misrepresentation, and dishonesty risks.
• Drive fair, consistent, and defensible claim outcomes.

Binder & Stakeholder Management

• Manage claims reports from binder holders and provide oversight.
• Respond to queries from binder holders accurately and timeously.
• Participate in binder meetings, claims reviews, and partner engagements.
• Build strong relationships with internal stakeholders and external

Customer Experience

• Deliver efficient, professional, and client-centric claims service.
• Manage rejections and complaints with fairness, diplomacy, and clarity.
• Uphold Hollard’s service standards and reputation.

Technical Support & Collaboration

• Participate in loss adjusting activities and legal settlement discussions where required.
• Provide support to claims negotiation teams as needed.
• Contribute to ad hoc projects and process improvements.

Reporting & Performance

• Provide monthly reports and updates to management.
• Manage own performance and delivery against agreed objectives.
• Ensure accuracy and integrity of claims data and reporting