Claims Assessor at Discovery Limited

Key Purpose

To investigate and validate non-motor claims to determine validity based on the Discovery Insure contract. To correctly quantify and validate losses and serve as a mediator between clients and/or brokers. Provide feedback and support to claims consultants and foster good relationships between brokers and clients.

Areas of responsibility may include but not limited to

• Non-motor claims investigation and validation, including settlement, rejection and repair within service level agreement.
• Turn-around time and predetermined mandates.
• Loss adjustment by correctly quantifying losses and/or verifying claimed amounts. Mediation between Insure client and/or broker.
• Reporting on all assessed claims and making recommendations.
• Analyse client behaviour to determine legitimacy of claims.
• Investigate and report on fraudulent claims.
• Perform administrative tasks and meet strict deadlines.
• Make recommendations to prevent fraud.
• Analyse, collecting, evaluating and handling of evidence.
• Claims forum presenting of claims.

Education and Experience

• Matric (Essential)
• 5 years’ minimum short term insurance claims experience (Essential)
• 5 years’ short-term insurance non-motor claims validations and investigations experience (Essential)
• Interviewing techniques (Essential)
• Investigation terminology (Essential)
• Tertiary qualification relating to investigations and interviewing e.g. Certified Fraud Examiner (Advantageous)
• Hold a valid driver licence
• Willing to travel

EMPLOYMENT EQUITY   

The Company’s approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.