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Claims Specialist - Recovery and Complex Claims Manager: Echelon (JG9)Location: Cape Town, Western Cape, ZA
Who are we? Santam 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 centred on our delivery of Insurance Good and Proper.
This career opportunity is available at Echelon a division of Santam for a Claims Specialist – Recovery and Complex Claims Manager, who will be based in Claremont. What will make you successful in this role?To be able to work well under pressure with minimal supervision.
Be a disciplined individual with good attention to detail.
Have the ability to handle a large workload.
Be logically minded and can make informed and accurate business decisions.
Good interpersonal and soft skills. Can deal with difficult situations.
MAIN FUNCTIONS:Recovery FunctionIdentify potential 3rd party recovery matters.
Refer identified matters to Santam's Legal department or recovery attorneys.
Liaise with Santam Legal or recovery attorneys on recovery process.
Daily monitoring of open claims.
General decision making with regards to recovery process. Ensuring the correct decisions are made regarding merit
Liaising with brokers with regards to open claims
Handling of queries and complaints
Receipting of recovery monies received from 3rd parties.
Receipting of salvage monies received
Payment of attorney and other legal fee matters
Complex claim function:Coordinate, oversee, manage, negotiate and settle complex claims end to end.
Manage claims in terms of SLA's.
Appoint assessors and liaise with them closely during the course of the claim.
Appoint and manage service providers (e.g. repairers and replacement providers).
Negotiate fair settlements and ensure maximum cost savings are achieved.
Dealing with the Ombudsman (OSTI) matters end to end.
Dealing with Santam complaints forum matters end to end.
Daily estimate updates as well as note attachment to the system.
Timeous and efficient management of inbox.
Liaise with brokers. Cultivating and maintaining close relationships with them.
Work closely with underwriting and finance teams.
Qualification and ExperienceMatric
Minimum 5-7 years personal lines, short term insurance claims handling experience essential
Law degree (advantageous)
Knowledge of legal and OSTI processes
Minimum 5 years in a management position with a proven track record of successful business management
Good computer skills
Superior technical knowledge of Motor and Non-Motor claims processes.
Core CompetenciesCultivates innovation - Contributing independently
Customer focus - Contributing independently
Collaborates - Contributing independently
Being resilient - Contributing independently
Drives results - Contributing independently
About The CompanySantam is the leading short-term insurer in South Africa. Along with its subsidiaries, the business transacts all classes of short-term insurance. Santam is a large, diversified, and transforming company and our success is rooted in our passion for our clients. Everything we do is centred on our delivery of Insurance Good and Proper.
Please note this appointment will be made in line with the Divisional Employment Equity targets. People with disabilities are welcome to apply.
The Sanlam Group is committed to achieving transformation and embraces diversity. This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are key components to ensuring a thriving and sustainable business in South Africa. The Group's Employment Equity plan and targets will be considered as part of the selection process.
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