Claims Specialist (Marine)

Overview

Santam Marine has a career opportunity for a Claims Specialist in the Claims department based in Gauteng .

The successful candidate will manage a complex portfolio of claims from notification to closure, investing the necessary level of involvement required for each claim depending on factors such as the nature, category, maturity, type, and quantum of the claim. This includes but is not limited to :

KEY RESPONSIBILITIES

• Ensure correct segmentation of claims to claim handlers based on their mandates and technical skill set
• Assist with continuous training of team members in accordance with legal developments and new products being offered
• Follow Santam Marine Claims Reserving Philosophy and Claims Standards
• Develop, iterate, document and execute claims strategies considering uncertainties, key decisions, potential outcomes and estimated associated costs
• Understand and implement Santam Marine’s “Treating Customers Fairly” policy
• Understand and execute the requirements set out by the Internal OSTI and Client Liaison division for complaints within the Claims Framework
• Manage claims portfolio(s) to optimise performance including regular review of individual claims and keeping reserves and records up to date
• Identify issues and trends in the portfolio and take corrective action as needed
• Ensure that all claim rejections are referred to Management for discussion before submission to Client
• Demonstrate thorough and sound application of policy knowledge to claims
• Display fair legal understanding in dealing with technically complex claims
• Deal with internal and external complaints (OSTI) and escalate accordingly
• Escalate problem claims to team leader, senior claims specialist and management as needed

Working with Underwriters

Key Responsibilities

Third party Management

Broker and Insured Relations

Conflict of Interest

People Management

Client Liaison (Internal and External)

Qualifications and Experience

Competencies

About Santam

Santam is the market leader in the general insurance industry in Southern Africa. We are committed to transformation and growth and are expanding into emerging markets across Africa and Asia.

Santam serves a diverse client base and is committed to equal opportunity employment. We encourage applications from candidates of all backgrounds, including persons with disabilities.

Take the next step in your career—apply now and be part of a company that’s shaping the future of insurance.

#J-18808-Ljbffr