Damage Moderator at PPS

Minimum Requirements

Education:

• NQF level 4 : Grade 12
• VDQ will be an advantage
• ACFE will be an advantage

Experience:

• 10 years’ experience within a Short-Term Insurance claims environment (both for Commercial and Personal Lines).
• Minimum 5 years Loss Adjusting / Investigating of Short-Term Insurance Claims both Personal Lines and Commercial
• Advanced knowledge of property insurance, claims verification, coverage evaluation, loss assessment (both physical damage and financial loss), reserving, insurance legal & regulatory environment, claims processes, applications/systems and procedures, and finance.
• Codeplex experience would be an advantage.

Knowledge and Skills:

• Customer Service Skills
• Thorough understanding of claims handling process
• Knowledge of Commercial and Personal Lines claims processes and the validation thereof.
• Negotiation Skills
• Risk management.
• Knowledge of the Auto Body repair industry.
• Proficiency in claims management software and Microsoft Office Suite.

Key Responsibilities:

• Multi-skilled Claims Moderator (STI Motor and Non-Motor)
• Overseeing claims Investigation
• Assessment and Analysis
• Negotiation and Settlement
• Documentation and Reporting
• Customer Service
• Continuous Improvement and process implementation

Risk and Compliance

• Adhere to internal SLA's to ensure operational efficiency and achievement of agreed customer service standards
• Identify trends in claims and train consequences thereof into the claims team.
• Ensure adherence to audit requirements.
• Ensure adherence to regulatory and compliance requirements.

People and Culture

• Create a motivated work environment where employees want to work hard to achieve service excellence by providing regular feedback on their performance and by making sure that the employees' efforts are recognized.
• Determine and analyse training needs for the claims team and ensure that all agreed development/training interventions are scheduled, approved and executed.
• Ensure continuous improvement and updating of work instructions and process documents.
• Provide input in development and updating guidelines to support the assessment/investigation of  claims.