Claims Service Consultant
2 days ago
What will you do?
Echelon Private Client Insurance as Subsidiary of Santam has available position for a Claims Service Consultant - Non Motor who will be based in Cape Town - Claremont.
The Claims Handler is responsible for coordinating and overseeing, managing, negotiation and settlement of the claim and is accountable for the finalisation of the claim end-to-end. This position entails ensuring client satisfaction and general administrative duties. What will make you successful in this role?
- Providing advice on lodging a claim and the processes involved.
- Processing new insurance claims notifications.
- Collecting accurate information and documents to proceed with a claim.
- Providing guidance to brokers /policyholders on how to proceed with the claim.
- Contacting suppliers from a network of approved professionals and arranging for them to
repair/replace policyholder's property.
- Monitoring the progress of a claim.
- Identify and notify management of potentially fraudulent claims.
- Negotiating claim settlements and ensure fair settlement of a valid claim.
- Build relationships with loss adjusters, brokers, suppliers and other legal/claims professionals.
- Involvement in loss adjusting activities and in legal discussions relating to settlement and inform the Recoveries Department of possible legal recovery of monies paid out.
- Liaise with brokers, administrators, underwriting and other relevant parties to the claims process, building a strong and effective professional relationship.
- Handling and resolving complaints and difficult claims.
- Acting at all times in the best interests of the Company, and within the framework of the FAIS Act 37 of2005.
- Ensuring that your qualifications are kept current in terms of the FAIS Continuous Professional Development framework.
- Acting at all times within the framework of the FSB Treating Customers Fairly Policy Qualification and Experience
- Matric
- Minimum of 5 years within the claims environment
- RE
- Minimum of 60 FAIS Credits Knowledge and Skills Claims administration Claims settlements of a complex nature Payment approval and rejections Operate within claims guidelines and compliance Coach and mentor less experienced short term claims clerks Personal Attributes Business insight - Contributing independently Manages complexity - Contributing independently Plans and aligns - Contributing independently Manages conflict - Contributing independently Core Competencies Cultivates innovation - Contributing independently Customer focus - Contributing independently Drives results - Contributing independently Collaborates - Contributing independently Being resilient - Contributing independently About the company:
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 centred on our delivery of Insurance Good and Proper. We’re about people. People drive our business, so it follows that we want to recruit the best people possible whether they work for us permanently or for a short time as temporary employees.
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. In achieving our employment equity goals we give preference to applicants from the designated groups in alignment with the Divisions Employment Equity targets.
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