Thursday , April 18 2024

Santam Careers Durban – Merit Field Investigator

Website Santam Insurance

Job Description:

The Merit Field Investigator will ensure that all flagged and segmented claims are comprehensively investigated to achieve conclusive results. The successful incumbent will maintain credibility by ensuring that all investigations are conducted in accordance with the Santam Claims Policy and Philosophy and Standard Operating Procedures and appropriate forensic investigation practices.

Job Responsibilities:

  • Handle claim queries within the agreed service levels.
  • Review the claims documents and photos to validate the claim.
  • Regular liaison with management and staff at all levels of the company regarding high risk claims escalated/ flagged.
  • Conduct a field investigation on the claim.
  • Regular liaison with Santam Forensic Services.
  • Consultation with clients, Third parties, Business and Business Partners on a continuous basis regarding fraud and irregularities.
  • Investigate and collate information on flagged claims.
  • Handling of disputes that could arise between Motor merit field and intermediaries and / or claimants.
  • Finalisation of completed investigations within the agreed turnaround times.
  • Handle customers effectively and fairly in line with TCF.
  • Regular liaison with counterparts at other insurers.

Job Requirements:

  • Investigative skills
  • Analytical thinking
  • Information seeking
  • An inquisitive mind and good questioning skills
  • Insurance knowledge Motor and Quality management
  • Administrative and Merit examination
  • Excellent customer service skills and proven experience
  • Basic Investigation of Claims

Qualification & Experience:

  • Matric/ Grade 12
  • Understanding of how to handle Motor Claims
  • Short Term Motor Insurance experience 3 years or more
  • 2-3 years’ claims experience
  • Tertiary National Diploma or University Degree would be advantageous

Job Details:

Company: Santam Insurance

Vacancy Type:  Full Time

Job Location: Durban, KwaZulu Natal, SA

Application Deadline: N/A

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