Loss Adjuster at Telesure Group Services

Job description

Role Summary

The Loss Adjustor contributes to the organisational goals by generating maximum savings, preventing fraud and managing expenditure through the validation of claims by using expert abilities in various fields of investigation.

Job Objectives/Outputs

• Accurate administration and underwriting of claims.
• Validation of claims by investigating, applying expertise, utilising resources (e.g. police, supplier etc.) and interviewing customers as well as other parties.
• Effective costing of claimed items through ensuring professional, thorough investigation of claims.
• Maintain an acceptable claims expenditure ratio (rejection, savings etc.) by finalising and adjusting claims accurately.
• Contributing to optimise work practices and procedures by maintaining an acceptable workload.
• Uphold agreed service level agreements (set turnaround times) and ensuring customer satisfaction and retention.
• Effectively build, maintain and manage relationships with service providers and suppliers, colleagues, internal and external customers.
• Deliver the Telesure Service Way through personal effort and through others.
• Deliver on Treating Customers Fairly principles in alignment with regulatory requirements

Level of Education:

Essential:

Grade 12 (Standard 10) with English and Afrikaans.

Desirable

• Grade 12 (Standard 10) with Science (Mechanical / Physical), Mathematics and African Language.
• Forensic Investigation Diploma / Insurance Institute qualification.
• Regulatory Examination.

Experience:

Essential:

2 - 3 years’ work experience within one or more of the following fields: insurance / police / / forensic / audit / legal

Or;

5 years' work experience in any investigative work environments

Knowledge of:

Desirable

• Short term insurance industry knowledge
• Forensic investigating knowledge
• Basic legal understanding
• Investigation procedures and techniques (e.g. paper cars / hidden numbers etc.)

Skills:

• Problem solving and analytical thinking
• Basic numeracy
• Investigative / orientation (“inquiring mind”)
• Listening
• Negotiation
• Administrative
• PC literacy
• People skills