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Non-Motor Claims Assessor
Hollard InsuranceZA24 days ago
Job type
- Full-time
Job descriptionTo effectively validate, adjust and report on assigned claims. Ensure containment of claims spend and provide fair & timeous claims settlement by benchmarking a culture of best practices within mandated responsibility. Review and validate building & contents claims to determine legitimacy and extent of damage claimed. Assess damage and estimate repair costs with a view of containing spend to below pre-determined ACPC. Positively contribute to the claims saving and impact to loss ratio as stipulated in the performance contract. Verify policy coverage and limits Conduct on-site inspections and evaluations when required Negotiate settlements with policyholders or contractors. Know and understand market trends and building rates, in line with company policy. Ensure compliance with Industry regulations and company guidelines Identify potential fraud or inflation of claims Provide support during reinstatement of property by managing submission and allocation of tenders, when required. Provide support to Internal Risk Surveyors & Procurement, when required Advise underwriters of claims revealing adverse risk features as soon as they are evident. Support business with AI implementation as a business toolkit. Seek solutions to potential disagreements and conflicts Maintain a high level of service to all stakeholders identified (internal and external) according to the service standards set Communicate in a professional manner with internal and external parties and respond to escalations within a pre-determined turnaround time. Keep concerned parties abreast of claims status and development Ensure adherence to Claims Framework Policy Work with and support the claims teams in the regional offices as well as manage relationships with loss adjustors and specialists. Required Knowledge and Experience Sound knowledge of the Building Industry 5+ Years of non-motor claims assessing experience Sound knowledge of Personal & Commercial Claims experience, which includes : Claims procedure Insurance terminology Legal knowledge (prescription act, insurance act, FAIS) Underwriting knowledge (ability to interpret policy wording, understanding how claims information impacts on underwriting) Advanced risk assessment knowledge (understand the assessment process, with an ability to appoint a specialist when required) Reinsurance and treaties (basic understanding) Product knowledge Financial knowledge (estimates, premiums, co-insurance) Claims Trending Ability to work under extreme pressure Advanced Microsoft Excel Self-management skills (can organise work, space, time) Communication skills (Can express oneself in a succinctly) Accuracy in the analysis, interpretation and basic calculations of data pertaining to claims settlement / estimates. Accuracy in the capturing of data to the core business system Demonstrate common sense, self-motivation and discipline Well-presented / representative of Hollard Culture Visibly demonstrate the Hollard values Visibly assisting Hollard to be the trusted Insurer Good knowledge of MS Office – Intermediate level (including Word, Excel, Outlook) Career orientated Knowledge of the Core Business System Be open to travel within the national Company network Matric / Grade 12 Appropriate Insurance qualification-Min NQF 4 Level Valid SA Driver’s License Insurance jobs
Job title : Non-Motor Claims Assessor
Job Location : Gauteng, Deadline : December 25, 2024 Quick Recommended Links
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