Senior Insurance Adjuster: Motor Claims

3 days ago


Sandton, South Africa Santam Insurance Full time

Santam Insurance is seeking a skilled Senior Insurance Adjuster: Motor Claims to join our team.

Job Summary
  • The successful candidate will be responsible for attending 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 be responsible for negotiating settlement agreements within mandate, drafting settlement agreements, and strategically managing a portfolio of claims to achieve optimal outcomes.
  • Other responsibilities 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.

Responsibilities

  • You will 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.
  • You will also conduct a strategic assessment of claims and make strategic decisions on handling of claims, attend to all aspects of system processing relevant to a portfolio of claims, and respond to queries and resolve to the satisfaction of the affected parties within the scope of authority and/or responsibility.


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