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Claim Settlement Specialist

2 weeks ago

Sandton, South Africa Santam Insurance Full time

At Santam Insurance, we are seeking a highly skilled Claim Settlement Specialist to join our team.

About the Job
  • The successful candidate will be responsible for managing a portfolio of motor claims, ensuring timely and effective resolution of claims in accordance with the mandate matrix.
  • You will negotiate settlement agreements within mandate, draft settlement agreements, and strategically manage a portfolio of claims to achieve optimal outcomes.
  • Your responsibilities will also include appointing and managing loss adjusters and attorneys where warranted, monitoring service levels and agreed turn-around times, and monitoring legal loss adjuster fee expenditure.

Key Responsibilities

  • You will attend to all aspects related to a portfolio of claims, including new claims, current files, diary, mail, recoveries, third party claims, attorney matters, settlement within mandate, verification and processing of claim bordereaux, etc.
  • You will also analyse factual and legal issues when assessing claims and bordereaux, critically analyse facts and their impact on the underlying merits assessment as well as the legal aspects of the policy, and use judgement in making appropriate decisions on merits and policy response.