Attend to all aspects related to a portfolio of claims e.g. new claims, current files, diary, mail, recoveries, Agg Tracker management, third party claims, attorney/investigator matters, settlement within mandate etc.Negotiate settlement agreements within mandateDraft settlement agreementsStrategically manage a portfolio of claimsAppoint and manage loss adjusters and attorneys where warrantedMonitor and adhere to service levels in accordance with agreed service level agreementsMonitor legal loss adjuster fee expenditure and refer concerns to management within the framework of agreed internal protocolAnalysisAnalyse factual and legal issues when assessing claimsCritically analyse facts and their impact on the underlying merits assessment as well as the legal aspects of the policyUse judgement in making appropriate decisions on merits and policy responseCritically assess and analyse the information requiredConduct a strategic assessment of claims and make strategic decisions on handling of claimsHave an in-depth understanding of technical and legal aspects impacting on the policy's operationSystem ProcessingAttend to all aspects of system processing relevant to a portfolio of claims e.g. registration of new claims, updating of reserves, cheque requisitions etc.Client Liaison (Internal and External)Respond to queries and resolve to the satisfaction of the affected parties within the scope of authority and/or responsibilityMaintain and adhere to service levelsPrepare for and attend meetingsGeneral AdministrationProduce reports when requiredAttend to daily administrative routine tasks in accordance with organisational standards, processes and proceduresAttend to the typing of general correspondence if and when necessaryQualification and ExperienceQualificationsMatricFAIS compliance (within the required period if not a registered Rep)Medical Qualification (if possible)ExperienceMinimum 6 months A&H claims handling experience a preferenceAnalysis of medical accounts and medical claims handling a preferenceAssessing medical reports and understanding medical terminologyKnowledge and SkillsGenericAdministrative SkillsAnalysis and JudgementAttention to DetailClient OrientationCommunication Skills including negotiationFollow UpInitiativeInterpersonal SkillsOrganisational AwarenessPlanning and OrganisingTeamworkComputer LiteracyTime management and ability to manage multiple claims at the same timeSpecificAbility to strategise and drive a claim to finalityOur Commitment to TransformationSantam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia.Our success is rooted in our passion for our clients and everything we do is centered on our delivery of Insurance Good and Proper. We're about people. People drive our business so it follows that we want to recruit the best people possible whether they work for us permanently or for a short time as temporary employees.At Santam we are committed to transformation and embracing diversity. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society. In achieving our employment equity goals we give preference to applicants from the designated groups in alignment with the Divisions Employment Equity targets.
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