Non-Motor Claims Assessor

3 days ago


Sandton, South Africa Neptune Full time

Hello… an exciting new opportunity has just become available in our Operations, Motor Claims area.  We are looking to recruit a Non-Motor Claims Assessor.

 

Role Objectives:

To effectively validate, adjust and report on assigned claims. Ensure containment of claims spend and provide fair & timeous claims settlement by benchmarking a culture of best practices within mandated responsibility.

Key Responsibilities:

  • Review and validate building & contents claims to determine legitimacy and extent of damage claimed.
  • Assess damage and estimate repair costs with a view of containing spend to below pre-determined ACPC.
  • Positively contribute to the claims saving and impact to loss ratio as stipulated in the performance contract.
  • Verify policy coverage and limits
  • Conduct on-site inspections and evaluations when required
  • Negotiate settlements with policyholders or contractors.
  • Know and understand market trends and building rates, in line with company policy.
  • Ensure compliance with Industry regulations and company guidelines
  • Identify potential fraud or inflation of claims
  • Provide support during reinstatement of property by managing submission and allocation of tenders, when required.
  • Provide support to Internal Risk Surveyors & Procurement, when required
  • Advise underwriters of claims revealing adverse risk features as soon as they are evident.
  • Support business with AI implementation as a business toolkit.
  • Seek solutions to potential disagreements and conflicts
  • Maintain a high level of service to all stakeholders identified (internal and external) according to the service standards set
  • Communicate in a professional manner with internal and external parties and respond to escalations within a pre-determined turnaround time.
  • Keep concerned parties abreast of claims status and development
  • Ensure adherence to Claims Framework Policy
  • Work with and support the claims teams in the regional offices as well as manage relationships with loss adjustors and specialists. 


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