Litigation Claims Consultant

Litigation Claims Consultant – Legal Insurer (Call Centre Environment)

Location: Pretoria / Cape Town (Office-Based, Hybrid once permanently employed)

Employment Type: Permanent with a 3-Month Probation Period

Salary: R264,000 per annum plus benefits (pension fund, medical aid, EAP assistance, legal benefit and data allowance)

Reporting To: Claims Manager (Litigation Department)

Role Overview

Our client, a legal insurer, is looking for a driven Litigation Claims Consultant to join their Litigation team in Pretoria or Cape Town. The role reports to the Claims Manager and is based in an open-space, call centre working environment.

You will assess and submit claims across all fields of law and manage litigation files through to finalisation. You will provide professional, ethical and prompt service to policy holders, ensure compliance with company policies and operations manuals, and manage the relationship between policy holders and service providers.

Key Responsibilities

• Assess and submit claims relating to all fields of law
• Draft cases on the Lawyerly system
• Attend to criminal, civil, family and labour files
• Draft claims and submit them to the Merit Assessment Committee
• Manage litigation claims with the Head of Department, in line with the Claims Policy and other policies issued by the Chief Risk Officer or Head of Claims
• Organise referrals and instructions to accredited panel attorneys
• Conduct monthly case management until finalisation, obtaining feedback from service providers and questioning service that is sub-par, unlawful or prejudicial to the policy holder or the insurer
• Manage the relationship between policy holders and service providers, including all invoices and accounts received
• Maintain effective, accurate and constant communication with policy holders, claims assistants, claims managers and service providers
• Follow repudiation and exclusion procedures in line with the Claims Policy and legal operational manual
• Verify policy payment history monthly
• Use only the Telviva system so that all calls are recorded, verifying policy holder identity and completing security checks
• Comply with all provisions of the Claims Policy and operations manuals
• Attend to any other reasonable request required by the office

Minimum Requirements

• LLB degree (essential)
• Admission as an Attorney or Advocate (essential)
• Minimum 1 year post-admission litigation experience
• Ability to speak, write and understand two official African languages (Afrikaans will be advantageous)
• Computer literate
• Excellent communication skills and initiative

Key Skills & Competencies

• Excellent team player
• Able to work without supervision
• Positive and highly motivated
• Professional, ethical and prompt client service
• Strong file management from submission to finalisation

Working Environment

• Legal insurer environment with an open-space, call centre set-up
• Hybrid working arrangement once permanently employed
• All calls recorded on the Telviva system, with policy holder identity verification
• Part of the Litigation department, reporting to the Claims Manager