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Non-Motor Claims Specialist

1 week ago

Johannesburg, Gauteng, South Africa Sanlam Full time
About the Role

The purpose of this position is to determine the quantum and merit of segmented non-motor claims by performing investigations, verifying the description of the event with the loss, negotiation (with client, intermediary, service providers) and settlement of claims within a delegated threshold and according to contract conditions.

Key Responsibilities:
  • Accountable for all claim interactions directly with the client/broker.
  • Determine merits, quantum, item identification, buying.
  • Negotiating and settling of claims with the insured/broker.
  • 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 manages all relevant claims tasks and 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.