Non-Motor Claims Assessment Specialist
2 months ago
We are seeking a highly skilled and experienced Non-Motor Claims Assessment Specialist to fill this critical role. The successful candidate will be responsible for investigating, adjusting, and reporting on assigned claims, ensuring containment of all Non-Motor claims spend while providing excellent service and setting a culture of best practice.
Key Responsibilities:- Process and understand Non-Motor claims terms and claim types.
- Be aware of escalation metrics and approved channels.
- Analyze problems and formulate solving approaches.
- Identify signs and details indicating fraud.
- Understand Non-Motor claims policies, activities, and procedures.
- Provide prompt and correct assessments.
- Explore alternatives for claims assessing and settlement processes.
- Map client needs to company specifications.
- Create collaborative relationships with internal and external stakeholders.
- Support the implementation of new systems and processes.
- Follow service practices to determine customer service and relations status.
- Proactively identify customer solutions to address changing service requirements.
- Establish productive operational relationships with key stakeholders.
- Ensure use of time, resources, money, materials, or equipment is in line with policies and procedures.
- Comply with corporate governance policies, procedures, and standards.
- Operate within agreed mandates.
- National Senior Certificate (NSC).
- Higher Certificate in Short-Term Insurance (NQF 5).
- 3-5 years Non-Motor Claims Assessment experience.
- Certified and Accredited Fraud Examiner (ACFE).
- Valid South African Driver's License.
- Analytical Decision Making.
- Property Valuations.
- Report Writing.
- Higher Certificate in Short-Term Insurance (Required).
- Matriculation Certificate (Matric) (Required).
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