Business Claims Investigator

2 weeks ago


Midrand, Gauteng, South Africa Sanlam Full time

Who are we?

  • Minimum Qualification Required
  • Grade 12/Standard 10/NQF
  • Minimum Experience
  • Minimum 5 years shortterm insurance experience
  • Minimum 5 years Claims experience
  • Minimum 3 years Claims Investigations experience
  • Solid understanding of claims systems and claims procedures: inclusive of claims, investigations, and legal department processes
  • Commercial Claims experience will be beneficial
  • Deliverables include, but will not be limited to
  • Managing validations of business claims, all skill sets.
  • Reaching company goals and targets set for the BI Investigations department.


Competencies Required
  • Must be highly proficient in dealing with clients at all levels
  • Comprehensive knowledge of legal liability and state regulations
  • Thorough knowledge of claims investigation techniques
  • Excellent written and verbal communication skills
  • Attention to detail
  • Strong administration skills
  • Selfmotivated, inspire others
  • Motivation and desire to excel
  • Problem solving skills and solution oriented
  • Flexibility
  • Ability to multitask and cope with pressure
  • Ability to perform under pressure
  • Meeting deadlines
  • Proper time management
  • Commitment to personal and team goals
  • Professionalism
  • Excellent interviewing skills
  • Provide technical guidance to team members

Knowledge and Skills

  • Assessing and processing of claims
  • Manage settlement of claims
  • Reporting and Administration
  • Basic Client engagements and consultations
    Personal Attributes


Interpersonal savvy
  • Contributing independently
  • Decision quality
  • Contributing independently
  • Action orientated
  • Contributing independently
  • Optimises work processes
  • Contributing independently

Build a successful career with us

  • We're all about building strong, lasting relationships with our employees. We know that you have hopes for your future your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its five business clusters
  • Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office the group provides many opportunities for growth and development.
    Core Competencies


Cultivates innovation
  • Contributing independently
  • Customer focus
  • Contributing independently
  • Drives results
  • Contributing independently
  • Collaborates
  • Contributing independently
  • Being resilient
  • Contributing independently

Turnaround timeOur commitment to transformation**At MiWay we believe in cultivating a positive and dynamic working environment that gives you freedom and opportunity to succeed. MiWay is committed to transformation and embracing diversity. This is what drives us to achieve a multicultural workplace with employment equity as a key goal to create an inclusive workforce, reflective of the demographics of our society.

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