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Sanlam

Claims Consultant

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  • Posted 2 months ago

Job Description

Who are we

SanlamAllianz Namibia is a leading Financial Services Institution, which provides services in the fields of Individual Life Insurance, Group Life Insurance, Unit Trusts and Asset Management. To give substance to its objective to be fully-fledged Namibian Insurer, SanlamAllianz Namibia is increasingly introducing greater financial and technical expertise.

What will you do

Responsible for handling of Personal and Commercial lines claims.

What will make you successful in this role

Processing of Claims

Assist clients with the completion of the relevant claim forms and ensure that all required documents are obtained

Notify the insurer of the claim

Ensure that claim forms are fully completed with copies of required documents

Ensure that claims are registered on the Insurer system where applicable

Inform client of claim number via SMS

Timely forward fully completed claims documentation to the insurer

Issue orders within company mandate and ensure proper authorization

Ensure that all orders are signed off by relevant supervisor

Appoint assessor as and when required

Arrange for collection of salvage, if applicable, and delivery to underwriters

Ensure that Agreement of Loss is correct and comprehensively communicate with client of the basis of settlement

Timely forward signed documentation and other information for payment of claim

Process claim in CRM and follow through on all activities

Monitoring of Claims

Regular follow-up on the progress of claims

Update claims notes in CRM with every client interaction

Timely provide clients with regular feedback on claims

Finalization of Claims

Regular follow-up with insurers on final settlement of claim

Notify service consultants timely of vehicle write-offs or other replacements

Timely report on repudiated claims and ensure that direct supervisor is informed

Prepare written correspondence to accompany the insurer repudiation letter

Finalize claim on CRM

Inform client immediately after finalization of claim

Recoveries & Third Party Approaches

Diarize all claims where 3rd parties are involved, for recovery or approaches

Follow up regularly with the insurer on status

Keep clients informed on the progress

Make sure that, when 3rd party payments are processed, claim is settled in CRM

Handling of Client Queries and Complaints

Promptly assist and advise clients on claim enquiries

Inform immediate supervisor of any client complaints received

Regularly update all client interaction in CRM

Prepare ex-gratia requests and submit to direct supervisor

Other Duties

Provide cover letters to dealers and clients

Forward underwriting instruction for policy amendments following settled claims

Continuously give your input on improvement of claims processes to be more effective

Always strive to make the claims process as effortless as possible for the client

Immediately inform supervisor of any problems during the handling of the claim

Qualification and Experience

School leaving certificate and 3 years of short-term insurance related experience

Introductory Programme in Short-Term Insurance will be an added advantage

Knowledge of relevant insurer system/ CRM will be an added advantage

Knowledge and Skills

Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) for documentation, reporting, and presentations

Proficient in English (verbal & written) language skills; and/or additional local Namibian language will be a competitive advantage, etc.

Good interpersonal skills

Ability to resolve disputes, complaints and conflicts

Ability to prioritize

Ability to work independently

Ability to work under pressure

Personal Attributes

Business insight - Contributing independently

Manages complexity - Contributing independently

Plans and aligns - Contributing independently

Manages conflict - Contributing independently

Build a successful career with us

We're all about building strong, lasting relationships with our employees. We know that you have hopes for your future your career, your personal development and of achieving great things. We pride ourselves in helping our employees to realise their worth. Through its five business clusters Sanlam Fintech, Sanlam Life and Savings, Sanlam Investment Group, Sanlam Allianz, Santam, as well as MiWay and the Group Office the group provides many opportunities for growth and development.

Core Competencies

Cultivates innovation - Contributing independently

Customer focus - Contributing independently

Drives results - Contributing independently

Collaborates - Contributing independently

Being resilient - Contributing independently

Turnaround time

The shortlisting process will only start once the application due date has been reached. The time taken to complete this process will depend on how far you progress and the availability of managers.

Our commitment to transformation

Our commitment to transformation

SanlamAllianz Namibia is committed to achieving transformation and embraces diversity. This commitment is what drives us to achieve a diverse, inclusive and equitable workplace as we believe that these are the key components to ensure a thriving and sustainable business in Namibia. SanlamAllianz Namibia Employment Equity plan and targets will be considered as part of the selection process.

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About Company

Job ID: 140113645