Non-Motor Desktop Assessor (JG 9) at Santam Insurance

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

COMPETENCIES

•  Client Service Orientated
•  Analytical Thinking 
•  Information Seeking 
•  Solutions driven
•  Drive for Results 
•  Organisational commitment
•  Problem solving 
•  Teamwork and Co-operation