Claims Specialist

3 weeks ago


Johannesburg, South Africa Sanlam Full time

Gauteng – Claims Specialist – Santam Marine Key Responsibilities Manage a complex portfolio of claims from notification to closure, applying technical skill and judgement to each claim. Segment claims to appropriate handlers based on mandates, technical skill set and case complexity. Provide continuous training to team members in line with legal developments and new product offerings. Follow Santam Marine Claims Reserving Philosophy, Claims Standards, and the “Treating Customers Fairly” policy. Iterate, document and execute claims strategies considering uncertainties, key decisions, potential outcomes and estimated associated costs. Understand and execute the requirements set by Internal Osti and Client Liaison for complaints within Santam Group Claims Framework. Regularly review individual claims, keep reserves and records up‑to‑date as required by Santam Marine controls. Identify issues and trends in the portfolio and take appropriate corrective action. Escalate problem claims to team leader, senior specialist and management where necessary. Deal with internal and external complaints (OSTI) and ensure all claims rejections are referred to management before client submission. Collaborate with underwriters to explain the Santam Marine philosophy, review claim trends, and provide feedback on potential impact on the book. Operate within approved claims authority at all times and implement minimum operating and claim standards. Maintain thorough knowledge of industry regulations and minimum standards to ensure compliance with Santam Marine claims and underwriting control standards and protocols. Qualifications & Experience Matric – F.A.I.S – Post Graduate (optional). Minimum 3‑5 years of actual marine specialist liability claims experience, including reinsurance facultative inwards/outwards and complex matters. Strong analytical, judgement, communication and negotiation skills. Proactive client orientation and team‑work capabilities. Computer literacy – Microsoft Office (Word, Excel, Outlook). Competencies Administrative Skills, Attention to Detail, Client Orientation, Communication Skills, Initiative, Interpersonal Skills. Planning and Organising, Teamwork, Organisational Awareness, Follow Up. Administrative Skills, Analytical Skills, Teamwork, Organisational Awareness, Planning and Organising. EEO Statement Santam is an equal opportunity employer – applicants of all backgrounds, including persons with disabilities, are encouraged to apply. Santam is committed to diversity, inclusion and belonging, and we celebrate all abilities. #J-18808-Ljbffr


  • Claims Specialist

    3 days ago


    Johannesburg, South Africa Ulwazi Staffing Solutions Full time

    Claims Specialist urgently required your claims benefits experience required Must have at least 1 to 2 years experience in claims **Job Type**: Permanent

  • Claims Specialist

    1 week ago


    Johannesburg, Gauteng, South Africa Sanlam Full time R46 800 - R300 000 per year

    CAREER OPPORTUNITYSantam Marine has a career opportunity for a Claims Specialist in the Claims department which will be based in Gauteng.The successful candidate will manage a complex portfolio of claims from notification to closure, investing the necessary level of involvement required for each claim depending on, inter alia, the nature, category, maturity,...


  • Johannesburg, South Africa CIB PTY (LTD) Full time

    **Main purpose of the role**: The main purpose of the Claims Specialist's role is to validate and administer a client's motor claim following a fortuitous event. In accordance with Standard Operating Procedures, claims guidelines, the specialist own mandate, and the client's policy schedule, the specialist will make a claims settlement...

  • Claims Specialist

    4 weeks ago


    Johannesburg, South Africa Sanlam Full time

    Overview Santam Marine has a career opportunity for a Claims Specialist in the Claims department which will be based in Gauteng . The successful candidate will manage a complex portfolio of claims from notification to closure, investing the necessary level of involvement required for each claim depending on, inter alia, the nature, category, maturity, type...

  • Claims Specialist

    4 weeks ago


    Johannesburg, South Africa Santam Insurance Full time

    Stay safe online. Now more than ever it’s important to be cybersafe. See Santam’s tips to help you stay safe online. Learn more. Santam Marine has a career opportunity for a Claims Specialist in the Claims department which will be based in Gauteng. The successful candidate will manage a complex portfolio of claims from notification to closure, investing...

  • Claims Specialist

    3 weeks ago


    Johannesburg, South Africa Sanlam Limited Full time

    Select how often (in days) to receive an alert: Create Alert Santam Marine has a career opportunity for a Claims Specialist in the Claims department which will be based in Gauteng. The successful candidate will manage a complex portfolio of claims from notification to closure, investing the necessary level of involvement required for each claim depending on,...

  • Claims Specialist

    6 days ago


    Johannesburg, Gauteng, South Africa Sanlam Full time R400 000 - R800 000 per year

    RESPONSIBILITIESClaims Practice ManagementAttend and manage all aspects related to a portfolio of specialist claims such as claims registration, case management, drafting, diary, recoveries, and settlement negotiations.Draft settlement agreements and other legal documents within mandate as per the Claims Governance Folder.Strategically manage a portfolio of...


  • Johannesburg, Gauteng, South Africa Santam Insurance Full time R600 000 - R1 200 000 per year

    CAREER OPPORTUNITYSantam SHAhas a career opportunity for aSenior Claims Specialistin the Claims department which will be based in Gauteng.*KEY RESPONSIBILITIES*The successful candidate will manage a complex portfolio of claims from notification to closure, investing the necessary level of involvement required for each claim depending on, inter alia, the...


  • Johannesburg, South Africa FirstRand Full time

    Job Description Dear Future, Claims Assessor Specialist Are you someone who can: - Accurate assessment, investigation and management of long-term insurance claims including disability (temporary or permanent disability) and critical illness claims. - Ensuring that the claims assessment and that the standard of decision is consistent with the company...

  • Claims Specialist

    3 weeks ago


    Johannesburg, South Africa Santam Insurance Full time

    ResponsibilitiesAttend and manage all aspects related to a portfolio of specialist claims such as claims registration, case management, drafting, diary, recoveries, and settlement negotiations.Draft settlement agreements and other legal documents within mandate as per the Claims Governance Folder.Strategically manage a portfolio of claims.Manage loss...