Claims Specialist - Recovery and Complex Claims Manager: Echelon (JG9)
Cape Town, Western Cape, South Africa
This career opportunity is available at Echelon , a division of Santam, for a Claims Specialist – Recovery and Complex Claims Manager , who will be based in Cape Town.
What will make you successful in this role?
To be able to work well under pressure with minimal supervision.
Be a disciplined individual with good attention to detail.
Have the ability to handle a large workload.
Be logically minded and can make informed and accurate business decisions.
Good interpersonal and soft skills. Can deal with difficult situations.
MAIN FUNCTIONS:
Recovery Function
Identify potential 3rd party recovery matters.
Refer identified matters to Santam’s Legal department or recovery attorneys.
Liaise with Santam Legal or recovery attorneys on recovery process.
Daily monitoring of open claims.
General decision making with regards to recovery process. Ensuring the correct decisions are made regarding merit.
Liaising with brokers concerning open claims.
Handling of queries and complaints.
Receipting of recovery monies received from 3rd parties.
Receipting of salvage monies received.
Payment of attorney and other legal fee matters.
Complex claim function:
Coordinate, oversee, manage, negotiate and settle complex claims end to end.
Manage claims in terms of SLA’s.
Appoint assessors and liaise with them closely during the course of the claim.
Appoint and manage service providers (e.g. repairers and replacement providers).
Negotiate fair settlements and ensure maximum cost savings are achieved.
Dealing with the Ombudsman (OSTI) matters end to end.
Dealing with Santam complaints forum matters end to end.
Daily estimate updates as well as note attachment to the system.
Timeous and efficient management of inbox.
Liaise with brokers, cultivating and maintaining close relationships with them.
Work closely with underwriting and finance teams.
Qualification and Experience
Matric.
Minimum 5-7 years personal lines, short term insurance claims handling experience essential.
Law degree (advantageous).
Knowledge of legal and OSTI processes.
Minimum 5 years in a management position with a proven track record of successful business management.
Good computer skills.
Superior technical knowledge of Motor and Non-Motor claims processes.
Core Competencies
Cultivates innovation - Contributing independently.
Customer focus - Contributing independently.
Collaborates - Contributing independently.
Being resilient - Contributing independently.
Drives results - Contributing independently.
About The Company
Santam is the leading short-term insurer in South Africa. Along with its subsidiaries, the business transacts all classes of short-term insurance. Santam is a large, diversified, and transforming company and our success is rooted in our passion for our clients. Everything we do is centred on our delivery of Insurance Good and Proper.
Please note this appointment will be made in line with the Divisional Employment Equity targets. People with disabilities are welcome to apply.
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