Claims Specialist

2 weeks ago


Cape Town, Western Cape, South Africa Sanlam Full time

Opportunity

  • 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 mínimal 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 with regards to 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 57 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 shortterm insurer in South Africa. Along with its subsidiaries, the business transacts all classes of shortterm 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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