Non-Motor Desktop Assessor (JG 9) at Sanlam Group

JOB DESCRIPTION

• The Claims Service Consultant: Desktop Assessment is responsible for co-ordinating and overseeing, managing, negotiating, and settling of the non-motor claims from start to end.

KEY RESPONSIBILITIES

• Receive claim and facilitate resolution – Claims Service Consultant/Desktop assessor is responsible for the full quantum and merit process.
• Receive claim after registration and make sure all details are captured.
• Contact insured and obtain any outstanding information 
• Check claims history on policy to confirm previous similar losses.
• Assess claims by reviewing digital images or document received and process claims to relevant pipeline.
• Responsible for proactive identification of fraudulent cases and recovery potential.
• Investigate the merit of the claim against the information received.  
• Appoint specialist i.e. Incident Manager / Service provider / Santam contractor
• Negotiate and authorize settlement of claims.
• Interact with the Police, Weather Bureau etc. to validate merits.
• Quantify the loss - determine basic, limited item identification (value and proof of ownership).
• Review and source equivalent replacement value from quotation provided by the client/ supplier.
• Make recommendations on possible rejections and refer the recommendations to claims committee.  
• Discuss claim outcome with clients.
• Discuss possible rejection with client and prepare the rejection letters.
• Provide regular feedback to clients.
• Adhere Standard claims framework.

QUALIFICATIONS AND EXPERIENCE

• Grade 12/ Matric
• An insurance qualification is recommended
• 3 years’ experience in short term claims environment with focus in commercial and personal lines
• Must be computer literate (MS Word, MS Excel and MS Power Point – Intermediate level)
• Experience with High-Net worth customer base will be advantageous.
• Good verbal and written skills

SKILLS/ PERSONAL ATTRIBUTES

•  Assertiveness skills
• Service Driven
• Attention to detail
• Good communication (verbal & written)
• Ability to easily adapt to changes
• Negotiation skills
• Good knowledge and interpretation of Personal line insurance policies