Claims Service Consultant

4 weeks ago

Bellville, South Africa Santam Full time

OPPORTUNITY

Santam’s Non-Motor Claims (Riscor Preferred Broker Claims Hub) department have a position available for a Claims Service Consultant Desktop (JG09) who will be based in Bellville Cape Town. WHAT WILL YOU DO

To assess merit and quantum of a non-motor damage claim through digital photographs, etc. This position entails assessing most types of non
- motor claims. Further responsibilities include adjudication of these claims, consulting on claims processes, and aftercare provision to clients, compiling management information and ensuring client satisfaction.
This role will also get the allocated motor claims ready for an assessor to be appointed, to handle all such claim enquiries and be responsible for the allocated claim until payment is complete. This will include communication with the client, Intermediary and or Service Provider as well as car hire requests and process of payments on claims as per Assessor’s recommendations and instructions.
WHAT WILL MAKE YOU SUCCESSFUL IN THE ROLE

Accountable for all claim interactions directly with the client/broker.
Responsible to determine merits, quantum, item identification, buying.
Responsible for negotiating and settlement of claims with the insured/broker
Responsible for communicating with the client/broker from beginning to end and is the one contact person for the client/broker.
Ensures that the claim is handled efficiently.
Effectively manages all relevant claims tasks and claims handling process to achieve timely settlement and to minimise leakage.
Identifies, investigates and resolves any issues relating to claims being handled in line with Santam policies and procedures such as Service Level Agreements, Standard Operating Procedures.
Ensures that the claim is handled efficiently and identifies and advises the intermediary/policyholder of the prescribed or most appropriate mechanism for resolving claims settlement disputes.
Communicates the process from the start of the claim and acts as a contact person if the client needs additional information.
Manage workload and instructions from system through any communication and or documents.
Required to check completeness and correctness of documents.
Responsible for all actions to get claim assessment ready.
Contact client or intermediary telephonically for any identified outstanding information.
Required to follow up on claims to receive digital images and or any documentation necessary for Assessment.
Handle complaints, queries and all interaction with clients, Intermediaries, Service Providers, internal stakeholders, Relationship Managers, Claims Committee and Underwriters.
Process payments and orders as per Assessor recommendation and instruction
Responsible for arrange and manage car hire requests and extensions
QUALIFICATIONS AND EXPERIECE

Matric/ Grade 12
A minimum of 5 years’ experience in short term insurance (Claims)
1 year experience in the desktop environment
Any previous claims handling, pre-support and or post support experience, knowledge of Abuntex and BPM will be advantageous KNOWLEDGE AND SKILLS

Negotiating skills (critical)
Computer Literate (MS Office Package)
Excellent communication skills (verbal & written)
Ability to work under pressure
Product knowledge in short-term insurance
WHO WE ARE

Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia.
Our success is rooted in our passion for our clients and everything we do is centered on our delivery of Insurance Good and Proper. We’re about people. People drive our business so it follows that we want to recruit the best people possible whether they work for us permanently or for a short time as temporary employees.
At Santam we are committed to transformation and embracing diversity. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society. In achieving our employment equity goals we give preference to applicants from the designated groups in alignment with the Divisions Employment Equity targets.

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