What will you do?
This career opportunity is available atTailored Claims Solutionsdepartment for the Claims Services Consultant – Desktop and will be based inPretoria, Centurion.
The successful incumbent will be responsible for determining the quantum and merit of segmented non-motor claims by performing investigations, verifying the description of the event with the loss, negotiation (with client, intermediary, service providers) and settlement of claims within a delegated threshold and according to contract conditions.
What will make you successful in this role?
KEY RESPONSIBILITIES
Accountable for all claim interactions directly with the client/broker.
Determining merits, quantum, item identification, buying.
Negotiating and settling of claims with the insured/broker.
Communicating and updating the client/broker from beginning to end.
Handling the claim effectively and advising the intermediary/policyholder of the prescribed or most appropriate mechanism for resolving claims settlement disputes.
Effectively managing all relevant claims tasks and claims handling process to achieve timely settlement and to minimise leakage
Identifying, investigating and resolving any issues relating to claims handled in line with Santam policies and procedures such as Service Level Agreements, Standard Operating Procedures.
Communicate the process from the start of the claim and act as contact person if the client needs more information.
Handling complaints, queries and interaction with clients, brokers, service providers, internal stakeholders, relationship managers, claims committee and options from underwriting.
Qualifications & Experience
Matric
3 years short term claims experience
2-4 years assessing experience
Experience with regards to assessment of Non-Motor claims, especially Buildings
Knowledge of the Act and legislation, especially:
Sectional Title Schemes Management Act No. 8 of 2011;
Community Schemes Ombud Service Act;
The Companies Act 71 of 2008 (or as may be amended);
The Shareblocks Control Act No. 59 of 1980 (or as may be amended);
The Housing Development Schemes for Retired Persons Act No. 65 of 1988
Knowledge & Skills
Familiar with Santam policy offerings
Ability to verify appraisal detail
Investigate and assess claims
Ability to assess merits
Familiar with other insurances
Capability to document evidence
Excess application
Ability to correctly apply indemnification
Computer literacy (MS office)
Familiar with Santam systems and tools
Telephonic skills
Ability to handle conflict and negotiate
Basic business ethics
Report writing
Personal Attributes
Interpersonal savvy - Contributing independentlyDecision quality - Contributing independentlyAction orientated - Contributing independentlyOptimises work processes - Contributing independentlyCore Competencies
Cultivates innovation - Contributing independentlyCustomer focus - Contributing independentlyDrives results - Contributing independentlyCollaborates - Contributing independentlyBeing resilient - Contributing independentlyBuild a successful career with us
We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future – your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its four business clusters – Sanlam Life and Savings, Sanlam Investment Group, Sanlam Emerging Markets, Santam, as well as MiWay and the Group Office – the group provides many opportunities for growth and development.
Turnaround time
The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers.Closing Date: 10 June 2021
Our commitment to transformation
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. 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.
