Job Description
job descriptionTHE ROLEThis career opportunity is available at Non-Motor region and the successful incumbent will be based in Parktown, JohannesburgWHAT WILL YOU DO?The successful candidate will determine the quantum and merit of segmented non-motor claims by performing investigations, verifying the description of the event with the loss, negotiating with (client, intermediary and service providers) and settlement of claims within a delegated threshold and according to contract conditionsWHAT WILL MAKE YOU SUCCESSFUL IN THE ROLE?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); andEnsuring effective and continuous communication with all stakeholders.
Responsibilities + Skills
Education
Short-term insurance qualification (NQF4)Digital Non-motor Assessors Skills ProgrammeCertified Fraud Examiner qualification advantageousFive (5) or more years' relevant claims assessment experience (non-motor) field or digital (full spectrum)
Experience