Claims Assessor

Business Unit: Discovery InsureFunction: Claims AdministrationDate: 6 Jan 2025Key PurposeTo investigate and validate non-motor claims to determine validity based on the Discovery Insure contract.
To correctly quantify and validate losses and serve as a mediator between clients and/or brokers.
Provide feedback and support to claims consultants and foster good relationships between brokers and clients.Areas of ResponsibilityNon-motor claims investigation and validation, including settlement, rejection and repair within service level agreement.Turn-around time and predetermined mandates.Loss adjustment by correctly quantifying losses and/or verifying claimed amounts.
Mediation between Insure client and/or broker.Reporting on all assessed claims and making recommendations.Analyse client behaviour to determine legitimacy of claims.Investigate and report on fraudulent claims.Perform administrative tasks and meet strict deadlines.Make recommendations to prevent fraud.Analyse, collect, evaluate and handle evidence.Claims forum presenting of claims.Education and ExperienceMatric (Essential)5 years' minimum short term insurance claims experience (Essential)5 years' short-term insurance non-motor claims validations and investigations experience (Essential)Interviewing techniques (Essential)Investigation terminology (Essential)Tertiary qualification relating to investigations and interviewing e.g.
Certified Fraud Examiner (Advantageous)Hold a valid driver licenseWilling to travel
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