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  • Posted: Mar 24, 2022
    Deadline: Not specified
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    Santam Limited is the largest short-term insurer in South Africa, with a market share in excess of 22%, providing short-term insurance products through broker networks and direct sales channels. The company was established in 1918 and offers personal, commercial, and corporate insurance solutions. Santam is a subsidiary of Sanlam Limited and has been listed ...
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    Heavy Commercial Claims Moderator

    What will you do?
    A position has become available for a Heavy Commercial Claims Moderator and will be based at Motor Claims, Auckland Park office, Johannesburg, Gauteng. 

    What will make you successful in this role?

    • To ensure the most appropriate and effective Heavy Commercial Vehicle (HCV) repair cost and process is approved on selected claims 
    • Identification of trends and loss off economic opportunity within the claims life cycle 
    • To increase and enhance the HCV Assessor skills in identifying and approving the most effective repair cost and process as well as guiding Adjusters on negotiation skills with HVR’s, Brokers and Clients through on the job coaching/peer coaching (Elevate the quality and assessing standard of HCV Assessors) 
    • To provide specialist technical support 
    • To physical do Work in Progress (WIP) on selected 
    • HCV claims 
    • To assist Assessors to negotiate and settle claims with clients within the delegated threshold related to Santam’s financial risk and aligned to the Claims 
    • Framework and relevant SOP’s 
    • Specific focus on technical quality of assessments and the implementation of correct repair methodology         
    • Ensure application of business rules 
    • Knowledge Sharing 
    • Moderating the following key aspects of an assessment with specific reference to HCV repairs costs: 
    • Validity of assessment on a digital basis  
    • Ensuring a standard quality of assessment report 
    • Validity of appropriate repair process at best possible repair cost is applied 
    • Validity of additional repair cost approval and provide guidance 
    • Evaluating final repair cost (FRC) calculations  
    • Perform “Work in Progress” as well as “open  and close file” audits where required 
    • Providing continuous guidance and assistance on technical repairs 
    • Liaising with HVR’s and assessors on technical aspects and repair methodology 
    • Moderation of wrecks  
    • Monthly and Ad Hoc reporting on the moderation results including solutions for improvement 
    • On the job coaching/peer coaching       

    Qualifications and Experience

    • Minimum 10 years Heavy Commercial Vehicles (HCV) or equivalent HCV assessing claims and settlement experience  
    • At least 5 years HCV experience of technical knowledge of mechanical damage, body damage and legal Industry repair requirements  
    • Attendance of Truck school training and other related courses  
    • Vehicle Damage Quantification Qualification 
    • (VDQ) application submission 
    • Coaching experience  
    • Claims handling process experience 
    • Previous experience and knowledge of HCV claims moderation is a recommendation 
    • Formal Qualified Diesel Mechanic, Panel beater or other relevant qualification is a recommendation 

    Knowledge and Skills

    • Telephonic, negotiation and conflict handling skills 
    • Basic business ethics and financial principles related to claims 
    • Time management 
    • Change management 
    • Coaching skills 
    • Excellent communication and negotiation skills 
    • Computer Literacy 

    PERSONAL ATTRIBUTES  

    • Analytical Thinking 
    • Information Seeking 
    • Directiveness 
    • Initiative 
    • Flexibility 
    • Customer Service Orientation 

    Method of Application

    Interested and qualified? Go to Santam Insurance on careers.sanlamcloud.co.za to apply

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