Claims Specialist (Marine)

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Santam Marine has a career opportunity for a Claims Specialist in the Claims department which will be 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, inter alia, the nature, category, maturity, type and quantum of the claim. This includes but are not limited to :

KEY RESPONSIBILITIES

• Ensure correct segmentation of claims to claim handlers based on their mandates and their technical skill set
• Assist with continuous training of Team Members in accordance with Legal Developments and new products being offered
• Always 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 ethos of Santam Groups Claims Framework.
• Manage claims portfolio(s) to optimise performance including :
• Regularly review individual claims within the portfolio and keep reserves and records up to date as required by Santam Marine claims controls and standards.
• Identify issues and trends in the portfolio and take appropriate and / or corrective action.
• Ensure that all claims rejections are referred to Management for discussion before submission to Client.
• Demonstrating thorough and sound application of policy knowledge to claims.
• Display fair legal understanding in dealing with technical complex claims.
• Deal with complaints internal and external (OSTI) complaint, and elevate accordingly
• Escalate problem claims to team leader, senior claims specialist and management (summons / brand and or reputational damage / complaints and near miss losses)

Working with Underwriters

KEY RESPONSIBILITIES

Third party Management

Broker and Insured Relations

Conflict of Interest

People Management

Client Liaison (Internal and External)

QUALIFICATION and EXPERIENCE

COMPETENCIES

ABOUT SANTAM

Santam is the market leader in the general insurance industry in Southern Africa. As a large, diversified, and expanding company, we are committed to transformation and growth. While our headquarters are in South Africa, we are rapidly extending our presence into emerging markets across Africa and Asia.

With a client base of over 1 million policyholders, Santam serves individuals, commercial enterprises, specialist business owners, and institutions—including 80 of the Top 100 companies listed on the JSE. Our commitment to Insurance, Good and Proper goes beyond just providing cover—we offer peace of mind, ensuring our clients can focus on living in the moment, not worrying about the unexpected. Because at Santam, we believe the freedom to seize every day is worth protecting.

People drive our business, and we are committed to attracting the best talent, whether for permanent roles or short-term opportunities.

Santam is committed to diversity, inclusion, and belonging. As an equal opportunity employer, we encourage applications from candidates of all backgrounds, including persons with disabilities. We are dedicated to neuro-inclusivity and fostering a workplace where everyone can thrive.

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

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