Legal Dispute Specialist at Sanlam Group

What will you do?

The position includes, but is not limited to, validation of all service/claims decisions with high & medium merit indicator, which may include interviewing witnesses, review of reports, towing operators, making recommendations and administration, liaising with service providers. Participation in claims committee meeting to drive fair outcomes. Liaising with Ombudsman Schemes. Handling of admin and/or call requests from complainants. Writing detailed responses to complainant and Ombudsman Schemes. Handling and resolving all complaints from any clients and service providers on claims and service matters.

What will make you successful in this role?

• LLB Degree / BCOM law 
•     Minimum 3 years in the STI (Short Term Insurance) environment 

Essential requirements/ Characteristics

• Good understanding of MiWay’s business rules, claims philosophy and business processes and ability to apply same
•     Comprehensive knowledge of the PPR and TCF
• Report drafting skills
• Knowledge of insurance law / principles 
• Knowledge of law of contract / principles
• Knowledge of MiWay’s products and services, including the underwriting manual
• Analytical thinking
• Good understanding of TIA and IPA system.
• Attention to detail
• Excellent written and communication skills
• Excellent oral communication skills
• Good argumentative skills
•  Deadline orientated and the ability to multi-task and cope with pressure
• Good attendance record
• Good MS Office Skills
• Self-motivated and inspire others and the motivation and desire to excel
• Goal and solution orientated with an innovative mind-set
• Honesty, integrity and represents and lives all the MiWay Values at all times
• Fluency in English and other African languages will be an advantage
• Understanding of team dynamics

Competencies required

Presentable and well groomed

• Proficiency in English
• Honesty
• Energy
• Integrity
• Open and friendly
•  Initiative

Knowledge and Skills

• Claims administration
• Claims settlements of a complex nature
• Payment approval and rejections
• Operate within claims guidelines and compliance
• Coach and mentor less experienced short term claims clerks