Non-Motor Claims Assessor

Overview

Hello… an exciting new opportunity has just become available in our Operations,Non-Motor Claims area in Bloemfontein. We are looking to recruit a Non-Motor Claims Assessor
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To 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.