Insure Connect is an independent organisation with over 25 years of Insurance administration and outsourced experience.
Short Term Insurance Professional
Location
South Africa
Posted
6 days ago
Salary
R18K - R38K / month
Seniority
Mid Level
Job Description
Short Term Insurance Professional
Insure Connect Services
• Claims handling - processing and managing STI claims from registration through to settlement across commercial lines • Underwriting & portfolio - new business, renewals, endorsements, risk assessment and premium adjustments • Client & broker engagement - professional communication with brokers, clients and insurers, relationship-first • Compliance & administration - accurate records, regulatory alignment, invoicing and documentation
Job Requirements
- Matric essential
- Degree or diploma advantageous
- FAIS compliant
- Minimum 2 years' experience in short-term insurance - claims, underwriting, or both
- Confident communicator - strong written and spoken English
- Comfortable working UK or Australian business hours
- Reliable fibre at home - minimum 50/50 Mbps
- South African citizen, currently based in South Africa
Benefits
- International exposure without leaving South Africa
- Access to modern insurance environments and global best practices
- Small, responsive team that keeps you in the loop
Related Guides
Related Categories
Related Job Pages
More Insurance Jobs
• Responsible for providing mission support to team of HII and subcontract personnel, including budgeting support, scheduling, task oversight, and daily operations management • Ensure customer satisfaction through recurring in-progress review, installation/base status, and financial review meetings • Assist with contract financial plans, forecasts, and cost assessments • Prepare project status reports by collecting, analyzing, and summarizing information and trends, and recommending actions • Represent HII in independent meetings and discussions with key customer stakeholders • Perform detailed throughput and capacity analyses to determine training system requirements supporting military aircrew and maintenance training programs • Identify bottlenecks within training pipelines and provide actionable recommendations for increasing student throughput and training efficiency • Create executable analytical models and capacity planning tools that enable Government stakeholders to evaluate multiple scenarios and adjust key variables for planning purposes • Deliver models in accessible formats with transparent methodologies, enabling informed procurement and resourcing decisions • Conduct scenario-based analyses to determine training devices, equipment, and facility requirements across multiple locations and operational contexts • Provide phased procurement recommendations and identify all required physical assets to support Government budget planning and acquisition strategies • Analyze and update training task lists, curricula, media requirements, and training system elements to ensure alignment with current and projected operational capabilities • Map training requirements to appropriate training devices and delivery methods while maintaining compliance with applicable military instructions and standards • Assess new technologies, training devices, and instructional methods for potential integration into existing training systems • Provide recommendations on cost-effective alternatives and training efficiency improvements while maintaining or enhancing training effectiveness and mission readiness • Prepare comprehensive technical reports, analyses, and briefings in accordance with Government requirements and military instructions • Synthesize complex analytical findings into clear recommendations supporting acquisition decisions, budget planning, and program management objectives • Execute prioritized analytical work across multiple programs and deliverables while maintaining schedule adherence and quality standards • Coordinate interdependent work streams, manage stakeholder expectations, and proactively address risks to timeline or deliverable quality • Support Government procurement planning by identifying resource requirements, providing technical basis for cost estimates, and delivering procurement phasing recommendations • Collaborate with program offices, contracting personnel, and stakeholders to ensure analyses support acquisition timelines and funding execution strategies • Set the conditions for program growth and expansion through solution development and requirements analysis
Appeals and Grievance Specialist
WellSense Health PlanWellSense Health Plan is a nonprofit health insurance company. As an employer, the company strives to foster a fast-paced, goal-motivated, and supportive cultur
Role Description The Appeals and Grievance Specialist is responsible for managing the resolution process of medical and pharmacy member appeals and/or member generated complaints/grievances, and ensuring compliance with contractual obligations, regulatory requirements and accreditation standards. Qualifications - A Bachelor’s degree in Health Care Administration, related field or, an equivalent combination of education, training and experience is required - 2 or more years’ experience working in a managed care organization required - Experience with Medicare medical and/or pharmacy prior authorization and appeals and grievances processes required - Knowledge and experience in conflict resolution highly preferred - Comprehensive knowledge of CMS, MassHealth and DHHS contractual provisions and NCQA accreditation requirements highly desirable - Demonstrated ability to successfully plan, organize, and manage projects within a managed care organization - Critical thinking and independent decision making skills, essential - Strong working knowledge of Microsoft Office products, required - Detail oriented, excellent verbal and written communication skills, essential - Ability to work in both team and independent settings at all levels of the organization - Good customer service skills, essential - Experience working with diverse populations, preferred - Knowledge of health care terminology, helpful - Bi-lingual preferred Requirements - Executes member appeals across multiple departments within the Plan and with representatives from external vendors - Determines and designs appeal processing schedule and guidelines on case-by-case basis - Ensures compliance with CMS, MassHealth and DHHS directives - Acts as a liaison between the Plan and the IRE, QIO, Office of Medicaid’s Board of Hearing and the NH State Fair Hearing - Ensures compliance with Qualified Health Plans, Commercial/Employer Choice contract regulations - Ensures compliance with NCQA accreditation standards for appeals processing and documentation - Participates and provides recommendations in appeals audits - Initiates, drafts and issues appeal results determination letters - Communicates with members, providers and internal and external medical personnel - Responsible for the preparation, research of data and records - Assists with reporting to CMS, MassHealth, DHHS and the Connector Authority - Coordinates management of member complaints and grievances - Works with clinical staff to investigate grievances related to quality of care - Responds to, documents, investigates and facilitates the resolution of member complaints and grievances - Ensures compliance with regulatory interpretation of statute, regulations and contractual provisions - Identifies and communicates trends Benefits - Full-time remote work - Competitive salaries - Excellent benefits - Generous total compensation including medical, dental, vision, pharmacy benefits - Merit increases - Flexible Spending Accounts - 403(b) savings matches - Paid time off - Career advancement opportunities - Resources to support employee and family wellbeing
Role Description As the Insurance Technology Solutions Consultant, you will serve as the strategic bridge between complex insurance brokerage operations and innovative AI-driven technology solutions. You will partner closely with enterprise clients, sales leadership, and internal stakeholders to design, implement, and optimize transformative insurtech solutions for large insurance organizations. - Enterprise Solutions Consulting & Technical Sales: - Partner with the sales team throughout enterprise deal cycles to understand client operational challenges, workflows, and technology environments. - Lead discovery sessions with insurance brokerages and agencies to identify opportunities for AI and automation solutions that deliver measurable business impact and ROI. - Develop tailored solution strategies, presentations, and implementation roadmaps aligned to each client’s operational needs and growth objectives. - Insurance Workflow & Technology Advisory: - Analyze complex insurance brokerage workflows, agency management systems (AMS), renewal processes, and operational structures to recommend scalable technology solutions. - Translate client operational challenges into actionable implementation plans leveraging AI-powered insurtech platforms and automation tools. - Act as a trusted advisor to clients by providing guidance on technology adoption, operational transformation, and workflow optimization. - Client Implementation & Change Management: - Collaborate with Customer Success and Implementation teams to support successful onboarding, adoption, and long-term utilization of technology solutions. - Guide clients through organizational change management initiatives, helping stakeholders navigate process transformation and AI adoption. - Support expansion opportunities within existing enterprise accounts by identifying additional workflows and operational efficiencies. - Cross-Functional Collaboration & Strategic Input: - Serve as the voice of the customer internally by sharing industry insights, operational feedback, and emerging market trends with Product and Engineering teams. - Contribute to the development of scalable solutions consulting processes, best practices, and implementation playbooks as the function grows. - Travel periodically for onsite client meetings, workshops, and strategic engagement sessions across North America. Qualifications - 5+ years of experience in insurance technology, insurtech, enterprise solutions consulting, technical sales, pre-sales engineering, or insurance operations. - Strong background within the Property & Casualty insurance industry, particularly working with or supporting insurance brokerages and agencies. - Experience selling, implementing, or consulting on technology solutions within insurance organizations is strongly preferred. - Previous experience in a fast-paced startup, SaaS, AI, or technology-driven environment is considered an asset. - Strong understanding of insurance brokerage workflows, agency management systems, and operational processes. - Experience with platforms such as Applied Epic, Vertafore AMS360, or similar insurance systems is highly desirable. - Ability to map complex operational processes to scalable technology and AI-driven solutions. - Strong business and technical acumen with the ability to communicate effectively with both executive stakeholders and operational teams. - Excellent communication, presentation, and relationship-building skills with the ability to influence stakeholders at all levels. - Strong analytical and problem-solving capabilities in complex and ambiguous environments. - Builder mentality with the ability to create scalable processes and solutions from the ground up. - Highly customer-focused with a consultative, solutions-oriented approach. - Self-motivated and comfortable working remotely while managing multiple enterprise engagements. - Adaptable and capable of thriving in a high-growth, rapidly evolving environment. Apply Today Please submit your resume directly to Alana Tarchuk via email at alana.tarchuk@executrade.com referencing Job ID: 85519.
Licensed Insurance Agent
Simera* By applying to this position, we’ll create your Simera Professional Key (SPK) — a unique key that helps you connect with employers, stand out, and secure the right match.
Role Description We are looking for detail-oriented and motivated individuals with an active U.S. insurance license to support independent agencies with operational and service-related tasks. This fully remote role is ideal for candidates looking to grow within the insurance industry, even without prior experience, as full training will be provided. Responsibilities: - Process policy changes and service requests including endorsements, cancellations, reinstatements, and rewrites. - Support policy renewals and account follow-ups. - Issue and manage Certificates of Insurance (COIs) and related documentation. - Assist with billing workflows, payment coordination, and cancellation prevention. - Support First Notice of Loss (FNOL) intake and coordinate claim handoffs. - Prepare submission packages and required documentation for quoting and underwriting. - Coordinate follow-ups and communication with carriers and clients. Qualifications - Active U.S. insurance license required (Property & Casualty required; Life & Health is a plus). - No prior insurance experience required; training will be provided. - Strong written and verbal English communication skills. - High attention to detail and ability to follow structured workflows. - Comfortable learning and using multiple technology platforms and systems. - Reliable home office setup, stable internet connection, and personal computer required. Preferred Qualifications - Previous customer service experience. - Comfortable handling inbound and outbound calls. - Familiarity with CRMs, ticketing systems, or operational tools. - Interest in personal lines, commercial lines, or both. Benefits - By applying to this position, we’ll create your Simera Professional Key (SPK) — a unique key that helps you connect with employers, stand out, and secure the right match.


