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 Merit Nonmotor Desktop Assessor for Merit Desktop Assessment claims is accountable for the claims end to end and is responsible for coordinating and overseeing all actions on claims in this processing channel.
KEY RESPONSIBILITIES
Ability to balance claim investigations with treating customers fairly (TCF)
Working within a team environment to identify and tackle fraudulent claims as well as assessing and verification of Desktop Non-motor claims
Handling a portfolio of suspected claims which would encompass all types of fraud
Conduct a Merit and quantum claim validation for non-motor claims
Identify fraud indicators and gathering information
Validating policy coverage and decide the appropriate action
Case ownership to deal with claims from beginning to end
Accountable for all claim interactions directly with the client/broker.
Ensures that the claim is handled efficiently.
Communicate the process from the start of the claim and act as contact person if the client needs more information.
Monitoring of work load and keep within the required SLA Turnaround times.
QUALIFICATIONS AND EXPERIENCE
Grade 12/ Matric Certificate
National Diploma/University Degree/Short-Term Insurance qualification
Strong Short Term Insurance Investigations experience
3 – 5 years non motor short term claims experience
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