Desktop Motor Merit Assessor

OPPORTUNITY

Santam Direct Claims department has a position available for a Desktop Merit Motor assessor who will be based in Tygervalley, Cape town. WHAT WILL YOU DO

The desktop assessor is accountable for all motor claim interactions directly with the client. Processing of all direct merit claims administration including co-ordinating and overseeing all actions on claims in this channel. The assessor would also need to identify problematic claims (red flags) and have it sent for further validation by one of the field teams. The outcome of each claim should be communicated to the client within the agreed SLA. WHAT WILL MAKE YOU SUCCESSFUL IN THE ROLE

Receive claim and facilitate resolution - responsible for the merit process.
Handling of client queries to limit client complaints.
Manage all relevant and expected communication to internal stakeholders within the agreed SLA
Ensure that claims are finalized within agreed SLA
Determine merit, investigation and determine whether external service providers are required as per SOP.
Assess claims by reviewing field reports and/or digital images or document received.
Proactive identification of fraudulent cases and recovery potential.
Interaction with the Police, Witness and Third Parties etc. to validate merits.
Understands legal liability considerations in given claims.
Decide on settlement recommendation.
Liaise with internal stakeholders, e.g. Underwriting, Claims Committee, Claims Technical, Assessing and Legal for Policy interpretation issues.
Pro-actively manage client expectation and ensure that all communication to client’s are completed within the required SLA QUALIFICATIONS AND EXPERIENCE

Matric certificate or equivalent qualification
Insurance related qualification
Computer literate (MS Word, MS Excel and MS Power Point)
Experience in high volume processes management (advantageous)
2 - 3 years’ experience in short term claims environment with focus on Personal Lines SKILLS

Experience in high volume processes management (advantageous)
Knowledge of quality processes
Computer Literate (MS Office Package)
Proficient in English
Excellent communication (verbal & written )
Negotiation skills
Ability to work under pressure
Strong client service orientation
Good knowledge and interpretation of insurance contracts COMPETENCIES

Client Focus - Adhere to strict turnaround times
Internal stakeholder focus - Adhere to SOP and TAT
Decision Making
Problem Solving
Collaborates
Flexibility & adaptability
Team Work
Continues Learning
Emotional Intelligence 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 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.