Clinical data associate ii south africa fsp Jobs in Remote, bloemfontein, south africa

CAREER OPPORTUNITY

This career opportunity is available at Non-Motor region and the successful incumbent will be based in Bloemfontein.

WHAT WILL YOU DO?

The successful candidate will determine the quantum and merit of segmented non-motor claims by performing investigations, verifying the description of the event with the loss, negotiating with (client, intermediary and service providers) and settlement of claims within a delegated threshold and according to contract conditions.

WHAT WILL MAKE YOU SUCCESSFUL IN THE ROLE?

• Receiving instruction from Claims Service Consultant (appraisal notes & docs).
• Checking completion and correctness of document and policy conditions.
• Planning routes for claims, make arrangements and contact client.
• Identifying what is required and outstanding from client.
• Deciding on what must be investigated and whether specialist expertise is required . builder, engineer.
• Assessing risk to provide recommendations to underwriting.
• Appointing specialist resources if required.
• Interacting with the police, weather bureau etc. to assess merit.
• Comparing information collected to the policy requirements and claim details presented.
• Determining equivalent replacement and determine risk.
• Deciding and negotiating on replacement / cash / claims card.
• Authorizing repairs / cash settlement.
• Writing Claims Report and updating the central claims file.
• Handle and resolve clients / brokers complaints in a timely and fair manner.
• Managing relationships with client, broker, service providers and internal stakeholders (relationship managers, claims committee, opinions from underwriters); and
• Ensuring effective and continuous communication with all stakeholders.

QUALIFICATIONS AND EXPERIENCE

Matric (Grade 12) with Mathematics

Short-term insurance qualification (NQF4) plus completed Digital Non-motor Assessors Skills Programme

Certified Fraud Examiner qualification advantageous

Five (5) years' or more relevant experience at digital non-motor level (full spectrum), field assessing experience advantageous

Seven (7) or more years' relevant claims assessment experience (non-motor) (full spectrum)

KNOWLEDGE AND SKILLS

PERSONAL ATTRIBUTES

Analytical thinking

Information seeking

Directiveness

Initiative

Flexibility

Customer Service Orientation

ABOUT THE COMPANY

Santam is the market leader in the general insurance industry in Southern Africa. We are a large, diversified, expanding and transforming company and whilst based in South Africa, we are rapidly moving into a number of emerging markets, both in Africa and Asia.

Our success is rooted in our passion for our clients and everything we do is centered on our delivery of Insurance Good and Proper. We’re about people. People drive our business so it follows that we want to recruit the best people possible whether they work for us permanently or for a short time as temporary employees.

At Santam we are committed to transformation and embracing diversity. This commitment is what drives us to achieve a diverse workplace with employment equity as a key goal to create an inclusive workforce, representative of the demographics of our society. In achieving our employment equity goals we give preference to applicants from the designated groups in alignment with the Divisions Employment Equity targets.