Website Santam Insurance
Santam Limited is the largest short-term insurer in South Africa, with a market share in excess of 22%, providing short-term insurance products through broker networks and direct sales channels. The company was established in 1918 and offers personal, commercial, and corporate insurance solutions. S… read moreantam is a subsidiary of Sanlam Limited and has been listed on the Johannesburg Stock Exchange (JSE) since 1964. 1 Sportica Crescent Tyger Valley Bellville, 7530
WHAT WILL YOU DO?
The successful candidate will be responsible for assessing the quantum and merit of segmented non-motor claims by conducting investigations, verifying event details against reported losses, and negotiating with clients, intermediaries, and service providers to reach settlements within delegated authority and contractual terms.
This role will cover the Gauteng and North-West regions
WHAT WILL MAKE YOU SUCCESSFUL IN THE ROLE?
Receive instructions from the Claims Service Consultant, including appraisal notes and documentation.
Review documents for completeness, accuracy, and compliance with policy conditions.
Plan claim assessment routes, schedule appointments, and contact clients accordingly.
Identify outstanding or additional information required from the client.
Determine the scope of investigation and whether specialist expertise (e.g., builder, engineer) is needed.
Assess risk and provide recommendations to the underwriting team.
Appoint specialist resources where necessary.
Liaise with external parties such as the police or weather bureau to evaluate claim merit.
Compare collected information with policy requirements and the details of the submitted claim.
Establish appropriate replacements and assess associated risks.
Decide on and negotiate settlement options, including replacement, cash, or claim card.
Authorize repairs or cash settlements within delegated authority.
Compile and submit detailed claims reports while maintaining accurate and updated claim files.
Address and resolve client or broker complaints promptly and fairly.
Manage relationships with clients, brokers, service providers, and internal stakeholders (e.g., relationship managers, claims committees, underwriters).
Ensure effective and ongoing communication with all relevant stakeholders throughout the claims process.
QUALIIFICATIONS AND EXPERIENCE
Matric (Grade 12) with Mathematics
Short-term Insurance Qualification (NQF Level 4) and completion of the Digital Non-Motor Assessors Skills Programme
Certified Fraud Examiner (CFE) qualification will be an added advantage
A minimum of five (5) years’ relevant experience in digital non-motor assessments (full spectrum); field assessing experience will be advantageous
KNOWLEDGE AND SKILLS
Completion of all relevant product training
Proficient in using IM external systems
Proven experience in adjustment processes, assessor reporting tools, and building terminology
Skilled in repair estimation for building damage, addressing indemnity issues, and working with non-standard roofing (e.g., thatching), floor coverings, Gyproc, and building repair calculators
Familiar with advanced electronic equipment used in assessments
PERSONAL ATTRIBUTES
Strong analytical thinking skills
Proactive in seeking and interpreting information
Decisive and directive in approach
Demonstrates initiative and self-motivation
Adaptable and flexible in dynamic environments
Apply via company website ( http://www.santam.co.za ) or
careers.sanlamcloud.co.za