Claims Service Consultant

2 weeks ago


Bellville, South Africa Santam Full time

Who are we?
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 centred on our delivery of Insurance Good and Proper. What will you do?
Santam’s Claims department has a position available for a Claims Service Consultant (Non-Motor) based in Bellville.
The Claims Service Consultant (CSC) for Field 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. What will make you successful in this role?
- Ensure that the assessor’s settlement instruction is processed and expedited.
- Accountable for all claim interactions directly with the client/broker.
- Responsible for the execution on the settlement decision from the field assessor by finalizing the settlement with the insured/broker after the assessor have confirmed the outcome of the merit and quantum.
- Responsible to get all the information pertaining to the claim in order for the field assessor to complete the quantum and the merit.
- The Claims Service Consultant is 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 maintains oversight of all relevant claims tasks and manages the 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 identify and advise the intermediary/policyholder

of the prescribed or most appropriate mechanism for resolving claims settlement disputes.
- Communicate the process from the start of the claim and act as contact person if the client needs

more information. Qualification and Experience
- Matric Certificate
- 2-3 years’ claims experience
- Insurance related qualification (NQF Level 4 and up)
- Must have experience dealing with high net-worth individuals Knowledge and Skills
- Personal Lines - all policy sections (including buildings)
- Good communication skills, both verbal and written
- Must be able to prioritise tasks and meet deadlines
- Must be able to cope in a pressurised environment
- Must display a good understanding of Short Term insurance principles
- Must be able to work with little or no supervision
- Must demonstrate assertiveness Build a successful career with us

We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future - your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its four business clusters - Sanlam Life and Savings, Sanlam Investment Group, Sanlam Emerging Markets, Santam, as well as MiWay and the Group Office - the group provides many opportunities for growth and development. Turnaround time
The Sanlam Group is committed to achieving transformation and embraces diversity. This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key components to ensuring a thriving and sustainable business in South Africa. The Group's Employment Equity plan and targets will be considered as part of the selection process.



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