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Claims Clerk Short Term Iii

1 month ago

Johannesburg, South Africa Santam Full time

CAREER OPPORTUNITY
Santam’s Claims department has positions available for Merit Claims Service Consultants (Non Motor) based in Auckland Park, Gauteng. The Claims Service Consultant (CSC) for Merit Desktop Assessment claims is accountable for the claims end to end and is responsible for coordinating and overseeing all actions on claims in this processing channel KEY RESPONSIBILITIES
Ability to balance claim investigations with treating customers fairly (TCF)
Working within a team environment to identify and tackle fraudulent claims as well as assessing and verification of Desktop Non-motor claims
Handling a portfolio of suspected claims which would encompass all types of fraud
Conduct a Merit and quantum claim validation for non-motor claims
Identify fraud indicators and gathering information
Validating policy coverage and decide the appropriate action
Case ownership to deal with claims from beginning to end
Accountable for all claim interactions directly with the client/broker.
Ensures that the claim is handled efficiently.
Communicate the process from the start of the claim and act as contact person if the client needs more information.
Monitoring of work load and keep within the required SLA Turnaround times. QUALIFICATIONS AND EXPERIENCE
Grade 12/ Matric Certificate

**Formal education**: Tertiary National Diploma or University Degree
Strong Short Term Insurance Investigations experience
2-3 years’ non motor short term claims experience
SKILLS
Merit Investigation of Non-motor Claims
Administrative and Merit examination,
Insurance knowledge - Short Term
Computer skills
Quality management
COMPETENCIES
Analytical Thinking
Information Seeking
Directiveness
Flexibility
Initiative
Customer Service Consultant