The Complex Claims Unit in Bellville requires a well-qualified individual who is proficient in dealing with large, own damage personal and commercial lines short-term claims. We have a position that is based in Bellville, Western Cape.JOB DESCRIPTIONThe Complex Claims Manager is responsible for the handling, coordinating, managing, negotiating, and settlement of large own damage personal, commercial, and industrial lines short-term insurance claims.The following accountabilities are applicable:Management of a claims' portfolio, end-to-end. This includes but is not limited to:Critical review of cover and endorsements/clauses specified in the policyAppointment of appropriate resourcesInvestigation of merits and the evaluation and interpretation of assessment/expert reports in line with the claims scenarioReview and update estimates where necessaryManage client expectationsHandle queries where necessaryNegotiation and Settlement with the clientDealing with the rejections of claimsEnsure finalisation of claimsCommunicate all adverse underwriting issuesLiaison with internal stakeholdersManaging of litigation/arbitration where rejections/settlement offers are in disputeCustomer Relationship ManagementServe as a Business Partner with all relevant StakeholdersCost-effective claims handlingClaims EscalationProcess ImprovementPolicy complianceLegislative complianceQUALIFICATIONS AND EXPERIENCE• Matric / Grade 12• Completed Legal or Financial degree• Relevant short-term insurance-related qualifications will be beneficial• Minimum 3 to 5 years' experience – own damage commercial and personal lines claimsKNOWLEDGE• Comprehensive short-term procedural and practice knowledge• Comprehensive policy knowledge• Comprehensive applicable legislative knowledgeCOMPETENCIESABOUT THE COMPANYSantam 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.Qualified applicants are invited to submit their cover letter, CV, and salary requirements in MS Word format online at www.santam.co.za/careers.
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