Merit Theft Field Investigator (Jg8)

Santam Insurance; Johannesburg; On-site; ZAR 300,000 - 450,000; Full time

Job summary

Santam Insurance seeks a Motor Merit Field Investigator in Johannesburg. The successful candidate will oversee comprehensive investigations and ensure compliance with Santam's policies. The role demands strong analytical skills, experience in motor insurance, and investigative capabilities. Excellent customer service is vital in managing claims and client interactions.

Qualifications

• 3+ years Short Term Motor Insurance experience.
• Background in investigative work, preferably with SAPS.
• 2-3 years' claims merit theft investigation experience.

Responsibilities

• Handle disputes between Motor merit field, intermediaries, and claimants.
• Conduct field investigations on claims.
• Complete investigations within agreed turnaround times.

Skills

Investigative skills

Administrative skills

Customer service excellence

Basic claims investigation

Insurance knowledge

Inquisitive mindset

Education

Matric / Grade 12

National Diploma or University Degree

Job description

Now more than ever, it's important to be cybersafe.

See Santam's tips to help you stay safe online.

Learn more about the opportunity at Santam's Merit Claims department for a Motor Merit Field Investigator position based in Hill On Empire, 16 Empire Rd, Parktown, Johannesburg.

Job Description

The Merit Field Investigator will ensure comprehensive investigation of all flagged and segmented claims to achieve conclusive results.

The successful candidate will maintain credibility by conducting investigations in line with Santam's Claims Policy, Philosophy, Standard Operating Procedures, and forensic investigation practices.

Key Responsibilities

• Handle disputes between Motor merit field, intermediaries, and claimants.
• Investigate and gather information on flagged claims.
• Conduct field investigations on claims.
• Review claim documents and photos to validate claims.
• Handle claim queries within service level agreements.
• Manage customer interactions effectively and fairly in line with TCF.
• Complete investigations within agreed turnaround times.
• Maintain communication with management and staff regarding high-risk claims.
• Consult with clients, third parties, and partners on fraud and irregularities.
• Collaborate with external resources for investigations.

Qualifications and Experience

• Matric / Grade 12
• National Diploma or University Degree (advantageous)
• 3+ years Short Term Motor Insurance experience
• Background in investigative work, preferably with SAPS
• 2-3 years' claims merit theft investigation experience
• Understanding of motor theft claims handling
• Strong analytical skills and trend evaluation

Skills

• Investigative skills
• Administrative skills
• Customer service excellence
• Basic claims investigation
• Insurance knowledge (Motor and Quality management)
• Inquisitive mindset and questioning skills

About Santam

Santam is a leading insurer in Southern Africa, committed to transformation, diversity, and delivering "Insurance Good and Proper."

We value people and aim to create a diverse, inclusive workforce aligned with our employment equity goals. Qualified applicants are encouraged to apply online with a cover letter and CV in MS Word format. Please share this opportunity with qualified individuals you know.