South Africa Job Openings
Sanlam
Merit Field Investigator (JG8)
Cape Town
FULL TIME
September 17, 2024
- Handling of disputes that could arise between Motor merit field and intermediaries and / or claimants.
- Validate and collate information on flagged claims.
- Conduct a field validation on the claim.
- Review the claims documents and photos to validate the claim.
- Handle claim queries within the agreed service levels.
- Handle customers effectively and fairly in line with TCF.
- Finalisation of completed validations within the agreed turnaround times.
- Regular liaison with management and staff at all levels of the company regarding high risk claims escalated/ flagged.
- Consultation with clients, Third parties, Business and Business Partners on a continuous basis regarding fraud and irregularities.
- Regular liaison with counterparts at other insurers.
- Regular liaison with Santam Forensic Services.
- Maintaining relationships with external resources as part collaboration, source of information and investigation purposes.
- Matric/ Grade 12
- Tertiary National Diploma or University Degree would be advantageous
- Short Term Motor Insurance experience 3 years or more
- 2-3 years’ claims experience
- Understanding of how to handle validations of Motor Claims
- Previous experience in the Mertis validation of motor claims
- Strong analytical abilities and evaluate trends objectively
- Investigative and good communication skills
- Administrative and Merit examination
- Excellent customer service skills and proven experience
- Basic Investigation of Claims
- Insurance knowledge Motor and Quality management
- An inquisitive mind and good questioning skills
- Analytical thinking
- Information seeking
- Directiveness
- Initiative
- Flexibility
- Customer Service Orientation
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