Claims Service Consultant: Desktop at Santam Insurance

Job Description

The purpose of this position is to determine 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.

Key Responsibilities

• Accountable for all claim interactions directly with the client/broker.
• Determine merits, quantum, item identification, buying.
• Negotiating and settling of claims with the insured/broker.
• Responsible for communicating with the client/broker from beginning to end and is the one contact person for the client/broker
• Ensures that the claim is handled efficiently.
• Effectively manages all relevant claims tasks and claims handling process to achieve timely settlement and to minimise leakage
• Identifies, investigates and resolves any issues relating to claims being handled in line with Santam policies and procedures such as Service Level Agreements, Standard Operating Procedures.
• Ensures that the claim is handled efficiently and identify and advise the intermediary/policyholder of the prescribed or most appropriate mechanism for resolving claims settlement disputes.
• Communicate the process from the start of the claim and act as contact person if the client needs more information.

Qualifications And Experience

• Matric/ Grade 12
• An insurance qualification is recommended
• 3 years’ experience in short term claims environment with focus in commercial and personal
• Experience in house contents accidental loss/damage claims
• Experience with all House contents lightning claims
• Experience with personal all risk claims
• Experience with buildings combined bursting & overflowing claims
• Previous geyser claims handling experience
• Personal & Commercial policy experience
• Experience with regards to assessment of Non-Motor claims

Competencies

• Client Service Orientation
• Analytical Thinking
• Information Seeking
• Drive for Results
• Organisational commitment
• Teamwork and Co-operation

Skills

• Computer Literate (MS Office Package)/ BPM
• Excellent communication skills (verbal & written)
• Ability to work under pressure
• Negotiating skills