Field Claims Examiner

1 month ago


Bloemfontein, Orange Free State, South Africa Sanlam Full time
Job Summary

We are seeking a highly skilled and experienced Field Claims Examiner to join our team in Bloemfontein. This role involves assessing non-motor claims, verifying event descriptions, negotiating with clients and service providers, and settling claims within a delegated threshold.

About the Role
  • Investigate claims, verify event descriptions, and negotiate with clients and service providers
  • Determine quantum and merit of non-motor claims
  • Settle claims within a delegated threshold and according to contract conditions
Responsibilities

The successful candidate will be responsible for:

  • Receiving instruction from Claims Service Consultants and checking completion and correctness of documents
  • Planning routes for claims, making arrangements, and contacting clients
  • Identifying what is required and outstanding from clients
  • Deciding on what must be investigated and whether specialist expertise is required
  • Assessing risk to provide recommendations to underwriting
  • Appointing specialist resources if required
  • Interacting with the police, weather bureau, etc. to assess merit
  • Comparing information collected to policy requirements and claim details presented
  • Determining equivalent replacement and determining risk
  • Deciding and negotiating on replacement/cash/claims card
  • Authorizing repairs/cash settlement
  • Writing Claims Report and updating the central claims file
  • Handling and resolving client/broker complaints in a timely and fair manner


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