Hello… an exciting new opportunity has just become available in our Operations, Motor Claims area. We are looking to recruit a Non-Motor Claims Assessor.
Role Objectives:
To effectively validate, adjust and report on assigned claims. Ensure containment of claims spend and provide fair & timeous claims settlement by benchmarking a culture of best practices within mandated responsibility.
Key Responsibilities:
- Review and validate building & contents claims to determine legitimacy and extent of damage claimed.
- Assess damage and estimate repair costs with a view of containing spend to below pre-determined ACPC.
- Positively contribute to the claims saving and impact to loss ratio as stipulated in the performance contract.
- Verify policy coverage and limits
- Conduct on-site inspections and evaluations when required
- Negotiate settlements with policyholders or contractors.
- Know and understand market trends and building rates, in line with company policy.
- Ensure compliance with Industry regulations and company guidelines
- Identify potential fraud or inflation of claims
- Provide support during reinstatement of property by managing submission and allocation of tenders, when required.
- Provide support to Internal Risk Surveyors & Procurement, when required
- Advise underwriters of claims revealing adverse risk features as soon as they are evident.
- Support business with AI implementation as a business toolkit.
- Seek solutions to potential disagreements and conflicts
- Maintain a high level of service to all stakeholders identified (internal and external) according to the service standards set
- Communicate in a professional manner with internal and external parties and respond to escalations within a pre-determined turnaround time.
- Keep concerned parties abreast of claims status and development
- Ensure adherence to Claims Framework Policy
- Work with and support the claims teams in the regional offices as well as manage relationships with loss adjustors and specialists.
