Claims Specialist - Recovery and Complex Claims Manager: Echelon (JG9) at Sanlam Group

What will make you successful in this role?

• To be able to work well under pressure with minimal supervision.
• Be a disciplined individual with good attention to detail.
• Have the ability to handle a large workload.
• Be logically minded and can make informed and accurate business decisions.
• Good interpersonal and soft skills.  Can deal with difficult situations.

MAIN FUNCTIONS:

• Recovery Function
• Identify potential 3rd party recovery matters.
• Refer identified matters to Santam’s Legal department or recovery attorneys.
• Liaise with Santam Legal or recovery attorneys on recovery process.
• Daily monitoring of open claims.
• General decision making with regards to recovery process. Ensuring the correct decisions are made regarding merit 
• Liaising with brokers with regards to open claims
• Handling of queries and complaints
• Receipting of recovery monies received from 3rd parties.  
• Receipting of salvage monies received
• Payment of attorney and other legal fee matters

Complex claim function:

• Coordinate, oversee, manage, negotiate and settle complex claims end to end.
• Manage claims in terms of SLA’s.
• Appoint assessors and liaise with them closely during the course of the claim.
• Appoint and manage service providers (e.g. repairers and replacement providers).
• Negotiate fair settlements and ensure maximum cost savings are achieved.
• Dealing with the Ombudsman (OSTI) matters end to end.
• Dealing with Santam complaints forum matters end to end.
• Daily estimate updates as well as note attachment to the system.
• Timeous and efficient management of inbox.
• Liaise with brokers.  Cultivating and maintaining close relationships with them.
• Work closely with underwriting and finance teams.
• Qualification and Experience
• Matric 
• Minimum 5-7 years personal lines, short term insurance claims handling experience essential
• Law degree (advantageous)
• Knowledge of legal and OSTI processes
• Minimum 5 years in a management position with a proven track record of successful business management
• Good computer skills 
• Superior technical knowledge of Motor and Non-Motor claims processes.