The Complex Claims Unit in Bellville requires a well-qualified individual who is proficient in dealing with large, own damage personal and commercial lines short-term claims. We have a position that is based in Bellville, Western Cape.
JOB DESCRIPTION
The Complex Claims Manager is responsible for the handling, coordinating, managing, negotiating, and settlement of large own damage personal, commercial, and industrial lines short-term insurance claims.
The following accountabilities are applicable:
• Management of a claims’ portfolio, end-to-end. This includes but is not limited to:
o critical review of cover and endorsements/clauses specified in the policy
o Appointment of appropriate resources
o Investigation of merits and the evaluation and interpretation of assessment/expert reports in line with the claims scenario
o Review and update estimates where necessary
o Manage client expectations
o Handle queries where necessary
o Negotiation and Settlement with the client
o Dealing with the rejections of claims
o Ensure finalisation of claims
o Communicate all adverse underwriting issues
o Liaison with internal stakeholders
o Managing of litigation/arbitration where rejections/settlement offers are in dispute
• Customer Relationship Management
• Serve as a Business Partner with all relevant Stakeholders
• Cost-effective claims handling
• Claims Escalation
• Process Improvement
• Policy compliance
• Legislative compliance
QUALIFICATIONS AND EXPERIENCE
• Matric / Grade 12
• Completed Legal or Financial degree
• Relevant short-term insurance-related qualifications will be beneficial
• Minimum 3 to 5 years’ experience – own damage commercial and personal lines claims
KNOWLEDGE
• Comprehensive short-term procedural and practice knowledge
• Comprehensive policy knowledge
• Comprehensive applicable legislative knowledge
COMPETENCIES
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. We’re about people. People drive our business, so it follows that we want to recruit the best people possible whether they work for us permanently or for a short time as temporary employees.
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.
Qualified applicants are invited to submit their cover letter, CV, and salary requirements in MS Word format online at Should you be aware of a qualified individual, please pass this vacancy on to them.
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