Non-Motor Assessor II at Santam Insurance

What will you do?
The successful candidate will determine the quantum and merit of segmented non-motor claims by performing investigations, verifying the description of the event with the loss, negotiating with (client, intermediary and service providers) and settlement of claims within a delegated threshold and according to contract conditions

What will make you successful in this role?

• Receiving instruction from Claims Service Consultant (appraisal notes & docs).
• Checking completion and correctness of document and policy conditions.
• Planning routes for claims, make arrangements and contact client.
• Identifying what is required and outstanding from client.
• Deciding on what must be investigated and whether specialist expertise is required e.g. builder, engineer.
• Assessing risk to provide recommendations to underwriting.
• Appointing specialist resources if required.
• Interacting with the police, weather bureau etc. to assess merit.
• Comparing information collected to the policy requirements and claim details presented.
• Determining equivalent replacement and determine risk.
• Deciding and negotiating on replacement/cash/claims card.
• Authorizing repairs/cash settlement.
• Writing Claims Report and updating the central claims file.
• Handle and resolve clients/brokers complaints in a timely and fair manner.
• Managing relationships with client, broker, service providers and internal stakeholders (relationship managers, claims committee, opinions from underwriters); and
• Ensuring effective and continuous communication with all stakeholders.

Qualification and Experience

• Matric (Grade 12) with Mathematics
• Short-term insurance qualification (NQF4) plus completed Digital Non-motor Assessors Skills Programme
• Certified Fraud Examiner qualification advantageous
• Five (5) years' or more relevant experience at digital non-motor level (full spectrum), field assessing experience advantageous
• OR Seven (7) or more years' relevant claims assessment experience (non-motor) (full spectrum)

Knowledge and Skills

• All relevant product training completed
• Familiar with IM external systems
• Must have experience in adjusting process, assessor reporting tools, building terminology, repair estimation on building damage, indemnity issues, non-standard roofing e.g. thatching, floor coverings, gyproc, building repair calculator and advanced electronic equipment
• Ability to do investigations on buildings, its contents and fire