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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The purpose of the role will be to manage the team of Motor Merit Field Assessors responsible for investigation component of suspicious and potential fraudulent claims. Ensuring that all flagged and segmented Motor Claims are comprehensively investigated to achieve conclusive results and co-ordinating all claims investigation efforts and all other relevant stakeholders e.g. Forensic Services, Insurance Crime Bureau (SAICB).
JOB DESCRIPTION
Manages and leads a team of Merit Claims Assessors
Ensure on-going development of resource by mentoring, guidance and both formal and informal training.
Ensuring effective management of high quality standards.
Reporting on effective management of claims.
Drive customer centricity in line with the Santam way.
Prioritise, allocate, manage and monitor investigation of high merit risk claims.
Effective merit claims investigation of appropriate quality.
Consultation with clients, Third parties, Business and Business Partners on a continuous basis.
QUALIFICATIONS AND EXPERIENCE
Matric/Grade 12
Degree in Legal or Forensic Qualification will be advantageous
Advanced knowledge of short term insurance industry
Relevant experience in the investigation of fraudulent claims
Management experience in a similar environment.
SKILLS
Computer Literate (MS Office Package)
Excellent communication skills (verbal & written)
Negotiating skills
Strong interviewing skills, capacity to influence and win confidence