Claims Assessor

2 weeks ago


Durban, KwaZulu-Natal, South Africa Discovery Limited Full time
Job title : Claims AssessorJob Location : KwaZulu-Natal, DurbanDeadline : April 05, 2025Quick Recommended Links
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Key Purpose

  • To investigate and validate non-motor claims to determine validity based on the Discovery Insure contract. To correctly quantify and validate losses and serve as a mediator between clients and/or brokers. Provide feedback and support to claims consultants and foster good relationships between brokers and clients.

Areas of responsibility may include but not limited to

  • Non-motor claims investigation and validation, including settlement, rejection and repair within service level agreement.
  • Turn-around time and predetermined mandates.
  • Loss adjustment by correctly quantifying losses and/or verifying claimed amounts. Mediation between Insure client and/or broker.
  • Reporting on all assessed claims and making recommendations.
  • Analyse client behaviour to determine legitimacy of claims.
  • Investigate and report on fraudulent claims.
  • Perform administrative tasks and meet strict deadlines.
  • Make recommendations to prevent fraud.
  • Analyse, collecting, evaluating and handling of evidence.
  • Claims forum presenting of claims.

Education and Experience

  • Matric (Essential)
  • 5 years' minimum short term insurance claims experience (Essential)
  • 5 years' short-term insurance non-motor claims validations and investigations experience (Essential)
  • Interviewing techniques (Essential)
  • Investigation terminology (Essential)
  • Tertiary qualification relating to investigations and interviewing e.g. Certified Fraud Examiner (Advantageous)
  • Hold a valid driver license
  • Willing to travel
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