Senior Claims Specialist : Motor

Santam Insurance; Gauteng; On-site; ZAR 30 000 - 60 000; Full time

Job summary

An established industry player is seeking a Senior Claims Specialist to join their dynamic team. This role involves managing a diverse portfolio of motor claims, negotiating settlements, and ensuring compliance with legal standards. The ideal candidate will have over six years of experience in claims handling, strong analytical skills, and the ability to mentor junior staff. You will play a crucial role in strategic decision-making and client interactions, ensuring high service levels and effective claims processing. If you're ready to take on a challenging yet rewarding position in a supportive environment, this opportunity is perfect for you.

Qualifications

• 6+ years of Motor Claims Handling experience required.
• FAIS Compliance is essential for this role.

Responsibilities

• Manage a portfolio of claims and negotiate settlement agreements.
• Oversee legal expenditures and monitor service levels.

Skills

Administrative skills

Attention to detail

Communication skills

Negotiation skills

Interpersonal skills

Computer literacy

Strategic thinking

Education

Matric certificate

Finance or Legal qualification

Job description

We have an exciting opportunity for a Senior Claims Specialist: Motor within SHA Risk Specialists.

What will make you successful in this role?

1. Attend to all aspects related to a portfolio of claims, including new claims, current files, diary management, mail, recoveries, third-party claims, attorney matters, settlement within mandate, verification and processing of claim bordereaux (all in accordance with the mandate matrix), etc.
2. Negotiate and draft settlement agreements within mandate.
3. Strategically manage a portfolio of claims.
4. Appoint and manage loss adjusters and attorneys as warranted, in accordance with the mandate.
5. Monitor service levels and turnaround times as per service level agreements.
6. Oversee legal loss adjuster fee expenditure and escalate concerns within internal protocols.
7. Analyse factual and legal issues when assessing claims and bordereaux, including the impact on merits and policy considerations.
8. Use judgment to make appropriate decisions on claim merits and policy responses.
9. Conduct strategic assessments of claims and make informed handling decisions.
10. Attend to all system processing aspects, such as registering new claims, updating reserves, and cheque requisitions.
11. Respond to internal and external client queries and resolve issues satisfactorily.
12. Prepare reports as required and assist with statistical and trend analysis.
13. Guide and mentor junior team members.
14. Perform daily administrative tasks according to organisational standards and procedures.
15. Assist with general correspondence typing when necessary.

Qualifications and Experience

• Previous Motor Claims Handling experience of 6 or more years.
• Matric certificate.
• FAIS Compliance.
• Finance or Legal qualification preferred.

Skills

• Administrative skills, analysis, and judgment.
• Attention to detail and client orientation.
• Excellent communication, negotiation, and follow-up skills.
• Initiative, interpersonal skills, and organisational awareness.
• Planning, organising, and teamwork abilities.
• Computer literacy and strategic thinking to drive claims to finality.