Claims Assessor
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Job Location:
Port Elizabeth - South Africa
Monthly Salary:
Not Disclosed
Posted on:
13 hours ago
Vacancies:
1 Vacancy
Job Summary
Key Purpose
To investigate and validate motor claims to determine validity based on the Discovery Insure contract. To correctly quantify and validate losses and serve as a mediator between clients and/or brokers. Provide feedback and support to claims consultants and foster good relationships between brokers and clients.
Areas of responsibility may include but not limited to
- Motor claims investigation and validation including settlement rejection and repair within service level agreement.
- Turn-around time and predetermined mandates.
- Loss adjustment by correctly quantifying losses and/or verifying claimed amounts. Mediation between Insure client and/or broker.
- Reporting on all assessed claims and making recommendations.
- Analyse client behaviour to determine legitimacy of claims.
- Investigate and report on fraudulent claims.
- Perform administrative tasks and meet strict deadlines.
- Make recommendations to prevent fraud.
- Analyse collecting evaluating and handling of evidence.
- Claims forum presenting of claims.
Education and Experience
- Matric (Essential)
- 5 years minimum short term insurance claims experience (Essential)
- 5 years short-term insurance motor claims validations and investigations experience (Essential)
- Interviewing techniques (Essential)
- Investigation terminology (Essential)
- Tertiary qualification relating to investigations and interviewing e.g. Certified Fraud Examiner (Advantageous)
- Hold a valid driver licence
- Willing to travel
EMPLOYMENT EQUITY
The Companys approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer we actively encourage and welcome people with various disabilities to apply.
About Company
Discovery offers award-winning products - Medical Aid Administration, Car and Life Insurance, Bank Accounts and Investments, all with Vitality rewards.
