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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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.
QUALIFICATIONS AND EXPERIENCE
Matric (Grade 12) with Mathematics
Short-term insurance qualification (NQF4) plus completed Digital Non-motor Assessors Skills Programme
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