Business Claims Advisor

Who are we?

At MiWay, our purpose is to enable people to live their way. We understand that life is not just about 'things' but the meaning that those things bring to your life. We believe that technology and innovation have infinite possibilities when it's inspired by humans by you.

Therefore, we focus on our clients' needs; finding new ways to simplify their lives and how they do things.

We give them products, services, and solutions that enable them to live and enjoy life on their own terms – in their own way.

Agile values and principles are strongly embedded in our culture, and they are at the core of how we make decisions and how we approach adding value within the company.

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.

The Business Insurance Claims Advisor is responsible for managing a portfolio of commercial motor and non-motor claims. This role requires the proactive and efficient processing of claims, ensuring fair and accurate assessments in line with policy wording. The ideal candidate will be a dedicated professional with strong technical claims knowledge, excellent communication skills, and a commitment to delivering exceptional service to brokers and policyholders within the short-term insurance sector.

• Grade 12/Standard 10/NQF 4
• A relevant tertiary qualification in insurance, business, or risk management is advantageous

• Minimum 3–5 years' experience in short-term insurance claims.
• In-depth experience managing both motor and non-motor commercial claims.
• Proven experience in business insurance or a corporate risk environment.

• End-to-End Claims Management:
  Manage the full lifecycle of assigned commercial claims, including registration, assessment, negotiation, and settlement, ensuring adherence to service level agreements (SLAs).
• Policy Application & Assessment:
  Accurately interpret and apply policy terms and conditions to determine claim validity. Make sound decisions on liability and quantum to ensure fair outcomes for clients and the business.
• Client & Broker Communication:
  Serve as the primary point of contact for policyholders, brokers, and service providers. Provide regular, clear, and professional updates on claim status and manage expectations effectively.
• Risk Identification & Compliance:
  Adhere strictly to all regulatory requirements, internal protocols, and FAIS legislation. Identify and flag potential fraud, irregularities, or claims leakage for further investigation.
• Record Keeping & Administration:
  Maintain accurate and detailed records of all claim activities, decisions, and communications on the relevant systems to ensure a clear audit trail.

• Claims Knowledge:
  Strong technical understanding of commercial insurance claims processes.
• Client Service: A proactive, solution-oriented approach to client and broker queries.
• Decision-Making:
  Sound judgement in claims evaluation, assessment, and settlement.
• Communication:
  Clear, confident, and professional communicator (both verbal and written).
• Organisation & Time Management:
  Excellent ability to manage a portfolio of claims and prioritize tasks effectively.
• Problem-Solving:
  Ability to analyze complex situations and resolve issues efficiently.
• Attention to Detail:
  Meticulous in reviewing documentation and maintaining accurate records.

• Customer Service
• Team Support
• Administration
• Quality, compliance and accreditation

• Communicates effectively - Contributing dependently
• Decision quality - Contributing dependently
• Action orientated - Contributing dependently
• Optimises work processes - Contributing dependently

• Cultivates innovation -…