Motor Merits Consultant at Santam Insurance

What Will You Do

The purpose of this position is to determine the merit of segmented motor claims by performing investigations, verifying the description of the event with the loss and make sure that all valid claim are being processed within SLA from the desk. You would also need to identify problematic claims (red flags) and have it sent for further validation by one of the field teams.

What Will Make You Successful In The Role

• Manage workload and complete claims within SLA.
• Validate claims from the desk.
• Listen to relevant recordings, sales/ claims/ SOS
• Complete merit report with all findings.
• Conduct assessment with clients, interview authorities & witnesses.
• Dealing with Underwriters and Claims technical.
• Handle complaints, queries and all interaction with clients, Intermediaries, Service Providers, internal stakeholders, Relationship Managers.
• Presentation of claims in claims committee.
• Make notes on systems, process claims and upload documents.
• Compiling of rejection letters and distribution thereof to relevant stakeholders.

Qualifications And Experience

• Matric/ grade 12.
• Minimum 3 years’ relevant work experience in short-term motor merit claims/ claims investigation.
• Sound understanding of policy wordings and application thereof
• Investigative abilities to identify red flag claims.
• Any previous claims handling, pre-support and or post support experience is advantageous Knowledge of Abuntex and BPM will be an advantage.

Attained Product Training In The Following Areas

• Motor modules for PL, C/L and Agri
• Specialized motor product C/L and Agri
• Principle of insurance
• Technical skills obtained through training and courses in the following areas:
• Introduction to motor
• Claims handling procedure

COMPETENCIES

• Analytical Thinking
• Information Seeking
• Directiveness
• Initiative
• Flexibility
• Client centric

Skills

• Ability to verify and interpret policy and appraisal detail
• Be able to think on your feet.
• Basic computer skills (MS office)
• Familiar with Santam systems
• Good communication skills
• Excellent Telephonic skills
• Ability to handle conflict and negotiate
• Basic business ethics