Claims Specialist at Santam Insurance

What will make you successful in this role?
Claims Portfolio

• Attend to all aspects related to a portfolio of claims e.g. new claims, current files, diary, mail, recoveries, third party claims, attorney matters, settlement within mandate, verification and processing of claim bordereaux (all in accordance with the mandate matrix) etc.
• Negotiate settlement agreements within mandate.
• Draft settlement agreements.
• Strategically manage a portfolio of claims.
• Appoint and manage loss adjusters and attorneys where warranted in accordance with the mandate.
• Monitor service levels and agreed turn-around times in accordance with agreed service level agreements.
• Monitor legal loss adjuster fee expenditure and refer concerns to management within the framework of agreed internal protocol.
   

Analysis

• Analyse factual and legal issues when assessing claims and bordereaux.
• Critically analyse facts and their impact on the underlying merits assessment as well as the legal aspects of the policy.
• Use judgement in making appropriate decisions on merits and policy response.
• Critically assess and analyse the information required.
• Conduct a strategic assessment of claims and make strategic decisions on handling of claims.
   

System processing

Attend to all aspects of system processing relevant to a portfolio of claims e.g. registration of new claims, updating of reserves, cheque requisitions etc.
 

Client Liaison (Internal and External)

• Respond to queries and resolve to the satisfaction of the affected parties within the scope of authority and / or responsibility.
• Prepare for and attend meetings.
   

General Administration

• Produce reports when required.
• Attend to daily administrative routine tasks in accordance with organisational standards, processes and procedures.
• Attend to the typing of general correspondence if and when necessary.
   

Qualification and Experience

• Matric
• FAIS Compliance a Preference
• Previous Motor Claims Handling experience (This is not a trainee position)
• Knowledge and Skills
• Ability to strategise and drive a claim to finality
• Administrative Skills
• Analysis and Judgement
• Attention to Detail
• Client Orientation
• Communication Skills including negotiation
• Follow Up
• Initiative
• Interpersonal Skills
• Organisational Awareness
• Planning and Organising
• Teamwork
• Computer Literacy

Who are we:

• Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia.
• Our success is rooted in our passion for our clients and everything we do is centered on our delivery of Insurance Good and Proper. We’re about people. People drive our business so it follows that we want to recruit the best people possible whether they work for us permanently or for a short time as temporary employees.
• At Santam we are committed to transformation and embracing diversity. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society. In achieving our employment equity goals we give preference to applicants from the designated groups in alignment with the Divisions Employment Equity targets.