Claims Specialist

6 months ago


Cape Town, South Africa Sanlam Full time

**Opportunity**
- This career opportunity is available at **Echelon** a division of Santam for a **Claims Specialist - Recovery and Complex Claims Manager**, who will be based in **Cape Town.**

**What will make you successful in this role?**
- To be able to work well under pressure with mínimal supervision.
- Be a disciplined individual with good attention to detail.
- Have the ability to handle a large workload.
- Be logically minded and can make informed and accurate business decisions.
- Good interpersonal and soft skills. Can deal with difficult situations.- MAIN FUNCTIONS:
**Recovery Function**
- Identify potential 3rd party recovery matters.
- Refer identified matters to Santam’s Legal department or recovery attorneys.
- Liaise with Santam Legal or recovery attorneys on recovery process.
- Daily monitoring of open claims.
- General decision making with regards to recovery process. Ensuring the correct decisions are made regarding merit
- Liaising with brokers with regards to open claims
- Handling of queries and complaints
- Receipting of recovery monies received from 3rd parties.
- Receipting of salvage monies received
- Payment of attorney and other legal fee matters- Complex claim function:
- Coordinate, oversee, manage, negotiate and settle complex claims end to end.
- Manage claims in terms of SLA’s.
- Appoint assessors and liaise with them closely during the course of the claim.
- Appoint and manage service providers (e.g. repairers and replacement providers).
- Negotiate fair settlements and ensure maximum cost savings are achieved.
- Dealing with the Ombudsman (OSTI) matters end to end.
- Dealing with Santam complaints forum matters end to end.
- Daily estimate updates as well as note attachment to the system.
- Timeous and efficient management of inbox.
- Liaise with brokers. Cultivating and maintaining close relationships with them.
- Work closely with underwriting and finance teams.**Qualification and Experience**
- Matric
- Minimum 5-7 years personal lines, short term insurance claims handling experience essential
- Law degree (advantageous)
- Knowledge of legal and OSTI processes
- Minimum 5 years in a management position with a proven track record of successful business management
- Good computer skills
- Superior technical knowledge of Motor and Non-Motor claims processes.**Core Competencies**
- Cultivates innovation - Contributing independently
- Customer focus - Contributing independently
- Collaborates - Contributing independently
- Being resilient - Contributing independently
- Drives results - Contributing independently- About The Company- Santam is the leading short-term insurer in South Africa. Along with its subsidiaries, the business transacts all classes of short-term insurance. Santam is a large, diversified, and transforming company and our success is rooted in our passion for our clients. Everything we do is centred on our delivery of Insurance Good and Proper.
- Please note this appointment will be made in line with the Divisional Employment Equity targets. People with disabilities are welcome to apply.


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