Claims Service Consultant (JG10) at Santam Insurance

JOB DESCRIPTION

• The purpose of this position is to get the allocated Motor Claims ready for an assessor to be appointed, to handle all such claim enquiries and be responsible for the allocated claim until payment is complete. This will include communication with the client, intermediary and service provider as well as process of payments on claims as per Assessors' recommendations and instructions.

KEY RESPONSIBILITIES

• Manage workload and instructions from system through any communication and or documents.
• Required to check completeness and correctness of documents.
• Responsible for all actions to get claim assessment ready.
• Contact client or intermediary telephonically for any identified outstanding information.
• Required to follow up on claims to receive digital images and or any documentation necessary for Assessment.
• Handle complaints, queries and all interaction with clients, Intermediaries, Service Providers, internal stakeholders, Relationship Managers, Claims Committee and Underwriters.
• Process payments and orders as per Assessor recommendation and instruction.
• Compiling of all rejection letters and distribution thereof to relevant stakeholders.

QUALIFICATIONS AND EXPERIENCE

• Matric/ Grade 12
• Minimum 3 years' relevant work experience in short term insurance motor claims settlement
• Sound understanding of policy wordings
• Motor claims handling experience
• Commercial and Personal Lines claims experience
• Fully computer literate (MS Office)

SKILLS

• Ability to verify and interpret policy and appraisal detail
• Good communication skills
• Ability to handle conflict and negotiate
• Negotiation skills
• Excellent verbal and written communication
• Accuracy and attention to detail
• Ability to work well under pressure