This career opportunity is available at Santam Direct Claims department for the Desktop Non-Motor Claims Assessor and will be based in Tygervalley, Cape Town.
JOB DESCRIPTION
Responsible for determining the quantum and merit of segmented non-motor claims by performing investigations, verifying the description of the event with the loss, negotiation (with client, and service providers) and settlement of claims within a delegated threshold and according to contract conditions.
PRINCIPLE RESPONSIBILITIES
- Determining merits, quantum, item identification, buying.
- Assess claims by reviewing digital images or documentation received.
- Review equivalent replacement value by confirming details on the quotation, contacting suppliers, and obtaining input from the experts or moderators.
- Identifying, investigating, and resolving any issues relating to claims handled in line with Santam policies and procedures such as Service Level Agreements, Standard Operating Procedures.
- Recommend and negotiate settlement: replacement, repair, cash or claims card.
- Authorizing repairs.
- Write merits report, recommend settlement details of claim, findings, circumstances, merits, quantum and risk recommendations.
- Communicating and updating the client from beginning to end.
- Handling the claim effectively and advising the policyholder of the prescribed or most appropriate mechanism for resolving claims settlement disputes.
- Managing workload and instructions from system through appraisal notes and documents.
- Required to check completeness and correctness of documents and compare collected information to the policy requirements and claim details presented.
- Contacting client telephonically for any identified outstanding information.
- Appointing specialist resources if required.
- Interacting with SAPS, weather bureau or any other stakeholders required to confirm merits of the claim.
- Updating the central claims file.
- Handling complaints, queries and all interaction with clients, service providers, internal stakeholders, relationship managers, claims committee and underwriters.
- Responsible for all Non-Motor policy sections pertaining to Personal lines, Agriculture and Commercial lines.
QUALIFICATIONS AND EXPERIENCE
- Matric.
- 3 years short-term claims experience.
- 3-4 years assessing experience.
- NQF 4 Insurance Qualifications essential.
KNOWLEDGE
- Familiar with all Non-Motor policy sections pertaining to Personal lines.
- Familiar with all Non-Motor policy sections pertaining to Commercial lines.
- Familiar with all Non-Motor policy sections of an Agricultural nature.
- Ability to verify appraisal detail.
- Investigate and assess claims.
- Ability to assess merits.
- SAPS.
- Ability to discuss and validate a list of items e.g., insurable interest.
- Familiar with other insurances.
- Ability to identify items such as white appliances, jewelry, electronic equipment, audio and radio equipment etc.
- Capability to document evidence.
- Excess application.
- Ability to correctly apply indemnification.
- Familiar with alarms and safety systems as well as advanced electronic equipment.
- Computer literacy (MS office).
- Familiar with Santam systems.
- Telephonic skills.
- Ability to handle conflict and negotiate.
- Basic business ethics.
- Report writing.
ABOUT THE COMPANY
Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is centered on our delivery of Insurance Good and Proper.
At Santam we are committed to transformation and embracing diversity. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society. In achieving our employment equity goals we give preference to applicants from the designated groups in alignment with the Divisions Employment Equity targets.
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