Loss Adjustor Durban

1 day ago


Johannesburg, South Africa The Recruitment Council Full time

JOB PURPOSE

Deliver and support sound quality of claims decision making, prevent fraud and
manage expenditure through the validation of claims by using expert abilities in
various fields of investigation.
RESPONSIBILITIES

Needs Assessment
Explore issues or needs, establishing potential causes and barriers as well as

resources (e.g. police, supplier etc.) and interviewing customers as well as other
parties.
Analyze specific problems and issues to find the best solutions. Solutions could be technical or professional in nature.

Data Collection & Analysis

Ask questions, collect data from a variety of sources, analyse information and
investigate claim. Ensure effective costing of claimed items through ensuring
professional, thorough investigation of claims.
Make decisions according to established criteria to ensure standardization
across the organisation by accurately administrating and underwriting claims.
Use appropriate tools (ITC, supplier contract and/or negotiation) to accurately
cost applicable claims on a day to day basis.

Customer Service

Provide a quality service to customers while identifying opportunities to secure
new business or support retention. Responsibilities may include processing
cases, dealing with complex queries and investigating and resolving customer
problems.
Uphold agreed service level agreements (set turnaround times) and ensuring
customer satisfaction and retention.

Stakeholder Engagement

Effectively build, maintain and manage relationships with service providers and
suppliers, colleagues, internal and external customers.

Work Scheduling and Operational Compliance

Contribute to optimize work practices and procedures by maintaining an
acceptable workload in order to get the job done, coordinating with support
services.
Ensure claims are finalized within the set parameters (turnaround time, terms
and conditions applied accurately).

Administration

Produce, update and provide best practice support to customers on the claims
administration process and other departmental systems, in line with claims
policy, rules and SLAs.
Ensure accurate administration and underwriting of claims.
Maintain an acceptable claims expenditure
ratio by finalizing and adjusting claims accurately.

Compliance

Identify shortcomings in compliance processes, systems and procedures, and
develop ad hoc solutions to problems within an assigned unit or discipline.

Up-Sell Customer Propositions

Identify a selection of products or services that may meet the customer's
requirements, explain the product/service features influence the customer to add
additional cover.

Personal Capability Building

Develop own capabilities by participating in assessment and development
planning activities as well as formal and informal training and coaching. Develop
and maintain an understanding of relevant technology, external regulation, and
industry best practices through ongoing education, attending conferences, and
reading specialist media.

Remain up to date with current and new quality standards and product
knowledge to enable effective decision making.
TECHNICAL COMPETENCIES

Investigative Knowledge

Forensic investigating knowledge.; Investigation procedures and techniques
(e.g. paper cars / hidden numbers etc.)..

Policy and procedures

Provide technical guidance when required to develop, monitor, interpret and
understand policies and procedures, while making sure they match
organizational strategies and objectives.
- Short term insurance industry knowledge.

Verbal and Written Communication

Use clear and effective verbal communication skill and provide technical
guidance when required to express ideas, request actions and formulate plans
or policies.

Policy and Regulation

expertise.

Planning and Organizing

Plan, organize, prioritize and oversee activities to efficiently meet business
objectives.

Action Planning

Develop appropriate plans or perform necessary actions based on
recommendations and requirements.

Numerical Skills
Use an understanding of numerical concepts to perform mathematical
operations such financial and numerical data.

Computer skills

Support business processes by understanding and effectively using standard
office equipment and standard software packages.
Proficient in MS Office.

Presentation skills

Communicate with other people by speaking in a clear, concise and compelling
manner.

Negotiation

Negotiate to help the organization by obtaining consensus between two or more
internal or external parties who may have different interests.

Risk Management

Identify, assess, prioritize and manage risks in a production process.
Data Collection and analysis
Analyze information and data trends for use in reports to help guide decision
making.
Health and Safety

EDUCATION

General Education
Grade 12/ SAQA Accredited Equivalent (Essential);
Regulatory Examination (Essential); Science (Mechanical / Physical),
Mathematics and African Language (Advantageous); Forensic Investigation
Diploma / Insura



  • Johannesburg, South Africa AIG Full time

    Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse...


  • Johannesburg, South Africa AIG Full time

    SENIOR COMPLEX CLAIMS EXAMINER Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and...


  • Johannesburg, South Africa AIG Full time

    Who we are. American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse...


  • Johannesburg, South Africa AIG Full time

    Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse...

  • Claims Service Advisor

    7 months ago


    Johannesburg, South Africa Aon Corporation Full time

    Posting Description: **Claims Service Advisor** Do you have claims advisory experience? Know how to handle large aggregate funds? Read on! Aon South Africa is hiring a Claims Service Advisor in our Risk Solutions department, this is a hybrid role with the flexibility to work both virtually and from our Sandton office. The role of the Claims Service...

  • Claims Service Advisor

    7 months ago


    Johannesburg, South Africa Aon Corporation Full time

    Posting Description: **Claims Service Advisor** Do you have proven claims advisory experience? Have you ever handled large aggregates? We are hiring! Aon South Africa is hiring a Claims Service Advisor in our Risk Solutions department based on a hybrid basis, from our Head Office in Sandton. The role of the Claims Service Advisor is to manage the claims...

  • Account Manager

    5 days ago


    Johannesburg, South Africa Palesa Mbali Group Full time

    Our client is a leading global provider of information and analytics that help customers with workflow solutions and better decision making. A digital pioneer globally and in South Africa, the company has been committed to enhancing the potential of Africa through its corporate solutions and smart digital platforms. As our client grows on the continent they...


  • Johannesburg, South Africa Executive Placings Full time

    Leading Tour Company is looking for energetic, well-travelled, passionate individuals who love everything about travel and who have a passion for turning holiday dreams into reality. The travel consultants provide world-class service by effectively managing and coordinating the selling and booking of holiday packages to the Travel Agent, to achieve personal...


  • Johannesburg, South Africa Feedem Recruitment Full time

    **Job Advert Summary**: Established in 1975, Feedem is a large contract catering company in South Africa which manages in excess of 300 sites and employs more than 5 000 people ranging from dieticians, chefs and human capital specialists to hygiene experts. We provide a wide range of catering and associated services to clients in all industries. We...

  • Project Manager

    7 months ago


    Johannesburg, South Africa Feedem Recruitment Full time

    **Job Advert Summary**: We are recruiting for a Project Manager to manage all units under the control to the satisfaction of the designated clients, adherence to contractual specifications, budgets and acceptable profits Established in 1975, Feedem is a large contract catering company in South Africa which manages in excess of 300 sites and employs more...


  • Johannesburg, South Africa Feedem Recruitment Full time

    **Job Advert Summary**: We are recruiting for a District Manager to manage all units under the control to the satisfaction of the designated clients, adherence to contractual specifications, budgets and acceptable profits. Established in 1975, Feedem is a large contract catering company in South Africa which manages in excess of 300 sites and employs more...


  • Johannesburg, South Africa Feedem Recruitment Full time

    **Job Advert Summary**: We are recruiting for a District Manager to manage all units under the control to the satisfaction of the designated clients, adherence to contractual specifications, budgets and acceptable profits. Established in 1975, Feedem is a large contract catering company in South Africa which manages in excess of 300 sites and employs more...


  • Johannesburg, South Africa Kuehne+Nagel Full time

    We offer an employee friendly environment for you to develop and grow to become a skilled transportation logistics professional in a challenging and fast developing company with a competitive salary and opportunities for further development within the Kuehne + Nagel Group. If, like us, you put customers at heart of everything you do, you can expect to be...

  • Packing Operator

    2 weeks ago


    Johannesburg, South Africa McCain Foods (S Africa) Full time

    **Position Title**:Packing Operator **Position Type**: Regular - Full-Time **Position Location**: Springs **Grade**: Grade 02 **Requisition ID**: 19178 **Scope of Responsibilities**: This role entails operating high speed sophisticated machines by managing settings and conducting tests to ensure a successful operation in the production process. The...


  • Johannesburg, South Africa Unilever Full time

    **Job Title: 3P Operations Assistant** **Department**:3PM **Work Level**:WL 1C **Location **_(City, Country): - ** Durban or Johannesburg **Main Job Purpose**: - (A concise statement setting out the main purpose and objectives of the job.)_ The Purpose of the 3P Operations Assistant is to be responsible for Unilever RPM & FG materials at 3P. This...


  • Johannesburg, South Africa Lindt and Sprungli (South Africa) Full time

    **Background of the Company** Lindt & Sprüngli (South Africa) (Pty) Ltd (Lindt SA) started operations in May 2011 and forms part of the Lindt & Sprungli group of companies. With more than 150 employees, Lindt SA is based in Cape Town with strong regional presence in Johannesburg, Durban and Port Elizabeth and a network of 13 Lindt retail stores. As global...


  • Johannesburg, South Africa McCain Foods (S Africa) Full time

    **Position Title**:Senior Brand Manager **Position Type**: Regular - Full-Time **Position Location**: Rosebank **Grade**: Grade 05 **Requisition ID**: 23843 **PURPOSE OF THE JOB**: Meet segment/brand objectives (volume, profit/ GP, share) that contribute to achieving the country and/or business objectives. On a daily basis this involves articulating and...