Claims Service Consultant at Santam Insurance

What will you do?
This career opportunity is available at Santam Direct for the Claims Department. The role is based in Bellville, Cape Town.
The Non Mtor Claims Service Consultant is accountable for all motor claim interactions directly with the client. Processing of claims administration end to end and is responsible for co-ordinating and overseeing all actions on claims in this channel. The CSC will ensure that the assessor’s settlement instructions are processed and expedited through engaging with the relevant stakeholders.

What will make you successful in this role?
Key Responsibilities

• Receive claim and facilitate resolution - Claims Service Consultant Desktop is responsible for the full quantum and merit process.
• Handling of client queries.
• Determine merit, investigation and determine whether external service providers are required.
• Assess claims by reviewing digital images or document received.
• Proactive identification of fraudulent cases and recovery potential.
• Negotiate and authorize settlement telephonically.
• Expedite claim in case of non-motor building.
• Interaction with the Police, Weather Bureau etc. to validate merits.
• Understands legal liability considerations in given claims.
• Quantify the loss - determine basic, limited item identification (value and proof of ownership).
• Review equivalent replacement value from quotation provided by the client or phoning suppliers or getting input from experts.
• Decide on settlement recommendation / recommend rejection to Claims Committee.
• Refer claim to Claims Technical Advice for Policy interpretation issues
• Negotiate settlement - replacement or repair / cash / claims card.

Qualifications And Experience

• Matric / Grade 12
• An insurance qualification is recommended (NQF 4)
• 3 years’ experience in short term claims environment with focus on Personal Lines
• Knowledge of FNOL (First Notification of Loss)

Knowledge And Skills

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

PERSONAL ATTRIBUTES

• Deciding and initiating action
• Collaborates
• Client focus
• Flexibility and adaptability
• Cultivates innovation
• Analytical thinking

Personal Attributes

• Business insight - Contributing independently
• Manages complexity - Contributing independently
• Plans and aligns - Contributing independently
• Manages conflict - Contributing independently

Build a successful career with us
We’re all about building strong, lasting relationships with our employees. We know that you have hopes for your future - your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its business clusters - Sanlam Personal Finance, Sanlam Emerging Markets, Sanlam Investments, Sanlam Corporate, Santam, Miway, as well as the Group Office - the group provides many opportunities for growth and development.

Core Competencies

• Cultivates innovation - Contributing independently
• Customer focus - Contributing independently
• Drives results - Contributing independently
• Collaborates - Contributing independently
• Being resilient - Contributing independently

Turnaround time

• The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers.

Our commitment to transformation
The Sanlam Group is committed to achieving transformation and embraces diversity. This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key components to ensuring a thriving and sustainable business in South Africa. The Group's Employment Equity plan and targets will be considered as part of the selection process.