Job Description

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 making sure that all valid claims 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/ SOSComplete 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.Strategic projects to ensure delivery of the right solutions for Santam