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Insurance Risk Evaluator

1 week ago

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Santam is the market leader in the general insurance industry in Southern Africa. As a key player, we offer various career opportunities for individuals to grow and develop their skills.

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 temporarily.

We are committed to transformation and embracing diversity. This commitment 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 Division's Employment Equity targets.

The successful candidate will determine the quantum and merit of segmented non-motor claims by performing investigations, verifying the description of the event with the loss, negotiating with clients, intermediaries, and service providers, and settling claims within a delegated threshold and according to contract conditions.

This role involves interacting with the police, weather bureau, etc. to assess merit. It also includes comparing information collected to the policy requirements and claim details presented, determining equivalent replacement and assessing risk, deciding and negotiating on replacement/cash/claims card, authorizing repairs/cash settlement, writing Claims Report and updating the central claims file.

Key Responsibilities:

  • Receiving instruction from Claims Service Consultant (appraisal notes & docs).
  • Checking completion and correctness of documents and policy conditions.
  • Planning routes for claims, making arrangements, and contacting clients.
  • Identifying what is required and outstanding from clients.
  • Deciding on what must be investigated and whether specialist expertise is required (builder, engineer).
  • Assessing risk to provide recommendations to underwriting.
  • Appointing specialist resources if required.
  • Handling and resolving clients/brokers complaints in a timely and fair manner.
  • Managing relationships with clients, brokers, service providers, and internal stakeholders (relationship managers, claims committee, opinions from underwriters).
  • Ensuring effective and continuous communication with all stakeholders.

Qualifications and Experience:

Matric (Grade 12) with Mathematics.

Five (5) years' or more relevant experience at digital non-motor level (full spectrum), field assessing experience advantageous.

Seven (7) or more years' relevant claims assessment experience (non-motor) (full spectrum).

Knowledge and Skills:

  • All relevant product training completed.
  • Familiar with IM external systems.
  • Experience in adjusting process, assessor reporting tools, building terminology, repair estimation on building damage, indemnity issues, non-standard roofing (thatching, floor coverings, gyproc), building repair calculator, and advanced electronic equipment.
  • Ability to conduct investigations on buildings, their contents, and fire.

Personal Attributes:

  • Analytical thinking.
  • Information seeking.
  • Initiative.
  • Flexibility.
  • Customer Service Orientation.