Claims Investigation Desktop Expert

3 days ago


Johannesburg, Gauteng, South Africa Santam Insurance Full time
About the Position

This is an exciting opportunity to join Santam's Motor Claims department as a Desktop Merit Consultant.

As a successful candidate, you will be responsible for determining the merit of segmented motor claims by performing investigations, verifying the description of the event with the loss, and ensuring that all valid claims are processed within SLA from the desk.

The ideal candidate will have at least 3 years' relevant work experience in short-term motor merit claims/claims investigation, and a sound understanding of policy wordings and application thereof.

Key Responsibilities:
  • Manage workload and complete claims within SLA.
  • Validate claims from the desk.
  • Listen to relevant recordings, sales/claims/SOS.
  • Complete merit report with all findings.
  • Conduct assessments with clients, interview authorities & witnesses.
  • Deal with Underwriters and Claims technical.
  • Handle complaints, queries and all interactions with clients, Intermediaries, Service Providers, internal stakeholders, Relationship Managers.
  • Present claims in claims committee.
  • Make notes on systems, process claims and upload documents.
  • Compile rejection letters and distribute them to relevant stakeholders.


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