Claims Clerk Short Term III at Santam Insurance

CAREER OPPORTUNITY

Santam’s Claims department has positions available for Merit Claims Service Consultants (Non Motor) based in Auckland Park, Gauteng.

JOB DESCRIPTION

The Claims Service Consultant (CSC) for Merit Desktop Assessment claims is accountable for the claims end to end and is responsible for coordinating and overseeing all actions on claims in this processing channel

KEY RESPONSIBILITIES

• Ability to balance claim investigations with treating customers fairly (TCF)
• Working within a team environment to identify and tackle fraudulent claims as well as assessing and verification of Desktop Non-motor claims
• Handling a portfolio of suspected claims which would encompass all types of fraud 
• Conduct a Merit and quantum claim validation for non-motor claims
• Identify fraud indicators and gathering information
• Validating policy coverage and decide the appropriate action
• Case ownership to deal with claims from beginning to end
• Accountable for all claim interactions directly with the client/broker. 
• Ensures that the claim is handled efficiently.
• Communicate the process from the start of the claim and act as contact person if the client needs more information. 
• Monitoring of work load and keep within the required SLA Turnaround times.

QUALIFICATIONS AND EXPERIENCE

• Grade 12/ Matric Certificate
• Formal education: Tertiary National Diploma or University Degree
• Strong Short Term Insurance Investigations experience
• 2-3 years’ non motor short term claims experience 

SKILLS

• Merit Investigation of Non-motor Claims  
• Administrative and Merit examination, 
• Insurance knowledge – Short Term
• Computer skills
• Quality management 

COMPETENCIES

• Analytical Thinking 
• Information Seeking 
• Directiveness
• Flexibility
• Initiative
• Customer Service Consultant