Santam’s Merit Claims department has positions available for a Motor Merit Field Investigator based in Hill On Empire, 16 Empire Rd, Parktown, Johannesburg.
JOB DESCRIPTION
The Merit Field Investigator will ensure that all flagged and segmented claims are comprehensively investigated to achieve conclusive results. The successful incumbent will maintain credibility by ensuring that all investigations are conducted in accordance with the Santam Claims Policy, Philosophy, Standard Operating Procedures, and appropriate forensic investigation practices.
KEY RESPONSIBILITIES
- Handling disputes that could arise between Motor merit field and intermediaries and/or claimants.
- Investigate and collate information on flagged claims.
- Conduct field investigations on the claims.
- Review claims documents and photos to validate the claims.
- Handle claim queries within the agreed service levels.
- Handle customers effectively and fairly in line with TCF.
- Finalise completed investigations within the agreed turnaround times.
- Regular liaison with management and staff at all levels regarding high-risk claims escalated/flagged.
- Consultation with clients, third parties, business, and business partners regarding fraud and irregularities.
- Regular liaison with counterparts at other insurers.
- Regular liaison with Santam Forensic Services.
- Maintain relationships with external resources for collaboration, information, and investigation purposes.
QUALIFICATIONS AND EXPERIENCE
- Matric/Grade 12.
- Tertiary National Diploma or University Degree would be advantageous.
- Short Term Motor Insurance experience of 3 years or more.
- Background in investigative work within the South African Police Services would be beneficial.
- 2-3 years’ claims merit theft investigation experience.
- Understanding of how to handle Motor Theft Claims.
- Previous experience in the investigation of motor theft claims.
- Strong analytical abilities to evaluate trends objectively.
SKILLS
- Investigative skills.
- Administrative and merit examination.
- Excellent customer service skills and proven experience.
- Basic investigation of claims.
- Insurance knowledge of Motor and Quality management.
- An inquisitive mind and good questioning skills.
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. While based in South Africa, we are rapidly moving into several emerging markets in Africa and Asia.
Our success is rooted in our passion for our clients, and everything we do is centered on delivering Insurance Good and Proper. We’re about people. People drive our business, so we aim to recruit the best possible candidates, whether they work for us permanently or temporarily.
At Santam, we are committed to transformation and embracing diversity. This commitment drives us to achieve a diverse workplace with employment equity as a key goal, creating an inclusive workforce representative of our society's demographics. In achieving our employment equity goals, we give preference to applicants from designated groups in alignment with the Division's Employment Equity targets.
Qualified applicants are invited to submit their cover letter and CV in MS Word format online at Should you know a qualified individual, please pass this vacancy on to them.
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