WHAT 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 conditions.
WHAT 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); and
Ensuring effective and continuous communication with all stakeholders.
QUALIFICATIONS AND EXPERIENCE
Matric (Grade 12) with Mathematics
Short-term insurance qualification (NQF4) plus completed Digital Non-motor Assessors Skills Programme
Certified Fraud Examiner qualification advantageous
Five (5) years' or more relevant experience at digital non-motor level (full spectrum), field assessing experience advantageous
OR
Seven (7) or more years' relevant claims assessment experience (non-motor) (full spectrum)
KNOWLEDGE AND SKILLS
All relevant product training completed
Familiar with IM external systems
Must have experience in adjusting process, assessor reporting tools, building terminology, repair estimation on building damage, indemnity issues, non-standard roofing e.g. thatching, floor coverings, gyproc, building repair calculator and advanced electronic equipment
Ability to do investigations on buildings, its contents and fire
PERSONAL ATTRIBUTES
Analytical thinking
Information seeking
Directiveness
Initiative
Flexibility
Customer Service Orientation