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Merit Claims Investigator

2 months ago

Cape Town, Western Cape, South Africa Sanlam Full time

{"h1": "Career Opportunity: Merit Field Investigator", "p": "Santam's Merit Claims department has a position available for a Motor Merit Field Assessor based in Cape Town, Western Cape. As a Merit Field Investigator, you will play a crucial role in ensuring that all flagged and segmented claims are comprehensively validated to achieve conclusive results.", "ul": [{"li": "Validate and collate information on flagged claims"}, {"li": "Conduct a field validation on the claim"}, {"li": "Review the claims documents and photos to validate the claim"}, {"li": "Handle claim queries within the agreed service levels"}, {"li": "Handle customers effectively and fairly in line with TCF"}, {"li": "Finalisation of completed validations within the agreed turnaround times"}, {"li": "Regular liaison with management and staff at all levels of the company regarding high risk claims escalated/flagged"}, {"li": "Consultation with clients, Third parties, Business and Business Partners on a continuous basis regarding fraud and irregularities"}, {"li": "Regular liaison with counterparts at other insurers"}, {"li": "Regular liaison with Santam Forensic Services"}, {"li": "Maintaining relationships with external resources as part collaboration, source of information and investigation purposes"}], "h2": "Qualifications and Experience", "p": "The successful candidate will have a Matric/Grade 12 qualification, with a Tertiary National Diploma or University Degree being advantageous. A minimum of 3 years' experience in Short Term Motor Insurance and 2-3 years' claims experience is required. Strong analytical abilities and the ability to evaluate trends objectively are essential.", "h2": "Skills", "p": "The ideal candidate will possess investigative and good communication skills, administrative and merit examination skills, excellent customer service skills, and basic investigation of claims skills. Insurance knowledge of Motor and Quality management is also required.", "h2": "Competencies", "p": "The successful candidate will demonstrate analytical thinking, information seeking, directiveness, initiative, flexibility, and customer service orientation.", "h2": "About the Company", "p": "Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia. Our success is rooted in our passion for our clients and everything we do is centered on our delivery of Insurance Good and Proper.", "p": "At Santam, we are committed to transformation and embracing diversity. This commitment is what 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.", "p": "Qualified applicants are invited to submit their cover letter and CV in MS Word format online at /careers. Should you be aware of a qualified individual, please pass this vacancy on to them.", "h1": "Join Our Team", "p": "We are looking for talented individuals who share our passion for delivering Insurance Good and Proper. If you are a motivated and results-driven individual who is passionate about making a difference, we encourage you to apply for this exciting opportunity.", "p": "At Santam, we offer a dynamic and inclusive work environment that fosters growth and development. We are committed to attracting and retaining top talent and offer a competitive remuneration package and benefits.", "p": "If you are interested in this opportunity, please submit your application online at /careers. We look forward to hearing from you.", "h2": "Contact Us", "p": "For more information about this opportunity, please contact us at /careers.", "p": "We are an equal opportunities employer and welcome applications from all qualified candidates.", "p": "Thank you for considering this opportunity.", "p": "Sincerely,", "p": "[Your Name]"}