Damage Moderator

**Job Advert Summary**:
The incumbent will be responsible for assessing, moderating, and investigating various types of Short-Term Insurance claims (motor and non-motor). This role includes auditing claims, determining the extent of the insurance company's liability, and negotiating settlements with claimants as necessary.

**Minimum Requirements**:
**Education**:

- NQF level 4 : Grade 12
- VDQ will be an advantage
- ACFE will be an advantage

**Experience**:

- 10 years’ experience within a Short-Term Insurance claims environment (both for Commercial and Personal Lines).
- Minimum 5 years Loss Adjusting / Investigating of Short-Term Insurance Claims both Personal Lines and Commercial
- Codeplex experience would be an advantage.

**Knowledge and Skills**:

- Customer Service Skills
- Thorough understanding of claims handling process
- Knowledge of Commercial and Personal Lines claims processes and the validation thereof.
- Negotiation Skills
- Risk management.
- Knowledge of the Auto Body repair industry.
- Proficiency in claims management software and Microsoft Office Suite.

**Competencies**:

- Problem solving
- Business Acumen
- Writing and communication skills - including the ability to communicate technical information.
- The ability to prioritize and multi-task
- Teamwork, leadership and motivational skills
- Persuading and influencing
- Proactive thinking
- People skills and able to communicate at all levels
- Able to handle pressure situations

**Duties and Responsibilities**:
**Key Responsibilities**:

- Multi-skilled Claims Moderator (STI Motor and Non-Motor)
- Overseeing claims Investigation
- Assessment and Analysis
- Negotiation and Settlement
- Documentation and Reporting
- Customer Service
- Continuous Improvement and process implementation

**Risk and Compliance**
- Adhere to internal SLA's to ensure operational efficiency and achievement of agreed customer service standards
- Identify trends in claims and train consequences thereof into the claims team.
- Ensure adherence to audit requirements.
- Ensure adherence to regulatory and compliance requirements.

**People and Culture**
- Create a motivated work environment where employees want to work hard to achieve service excellence by providing regular feedback on their performance and by making sure that the employees' efforts are recognized.
- Determine and analyse training needs for the claims team and ensure that all agreed development/training interventions are scheduled, approved and executed.
- Ensure continuous improvement and updating of work instructions and process documents.
- Provide input in development and updating guidelines to support the assessment/investigation of claims.