Merit Field Assessor

at Sanlam
Location Johannesburg, South Africa
Date Posted Sep 17, 2020
Category Market & Customer Research Jobs
Job Type Full-time


What will make you successful in this role?

•    Handling of disputes that could arise between Motor merit field and intermediaries and / or claimants.
•    Investigate and collate information on flagged claims.
•    Conduct a field investigation 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 investigations 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.

Qualifications and Experience

•    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 Motor Claims
•    Previous experience in the investigation of motor claims
•    Strong analytical abilities and evaluate trends objectively

Knowledge and Skills

•    Investigative 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

Core Competencies
Cultivates innovation - Contributing independently
Customer focus - Contributing independently
Drives results - Contributing independently
Collaborates - Contributing independently
Being resilient - Contributing independently
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