Key Purpose

 

To investigate and validate buildings 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

 

Buildings 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 deadlines. Make recommendations to prevent fraud. Analyse, collecting, evaluating, and handling of evidence. Claims forum presenting of claims.

 

 

Education and Experience

 

Matric (Essential) 3 years’ minimum short term insurance claims experience (Essential) 3 years’ short-term insurance buildings claim validations and investigations experience (Essential) Interviewing techniques (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 Company’s 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.