Overall purpose of the position:
The Loss Adjustor contributes to the organisational goals by generating maximum savings, preventing fraud and managing expenditure through the validation of claims by using expert abilities in various fields of investigation.

Job Specifications:
(Commercial Lines, Non-Motor)
• Accurate administration and underwriting of claims.
• Validation of claims by investigating, applying expertise, utilising resources (e.g. police, supplier etc.) and interviewing customers as well as other parties.
• Enable effective costing of claimed items through ensuring professional, thorough investigation of claims.
• Maintain an acceptable claims expenditure ratio (rejection, savings etc.) by validating and investigating claims accurately or in accordance with the service level agreement.
• Contributing to optimise work practices and procedures by maintaining an acceptable workload.
• Uphold agreed service level agreements (set turnaround times) and ensuring customer satisfaction and retention.
• Effectively build, maintain and manage relationships with service providers and suppliers, colleagues, internal.
• Deliver on Treating Customers Fairly principles in alignment with regulatory requirements
• Daily check-in (Feedback and updates)
• Validate facts on the road
• Investigate merits identified
• Compile report with recommendation
• Feedback by short interval controls
• Provide clarity on escalated complaints
• Record evidence relevant to investigation


Qualifications & Experience:
• Matric essential
• Full qualification (Commercial Lines): NQF4 150 credits (Short-term Insurance) advantageous
• RE 5 advantageous
• A minimum of 2 - 3 years’ work experience within one or more of the following fields: insurance / police / forensic / auditing / legal or
• 5 years' work experience in any investigative work environments
• Short term insurance industry knowledge
• Forensic investigating knowledge
• Basic legal understanding
• Investigation procedures and techniques (e.g. paper cars / hidden numbers etc.)

Skills/Competencies:
• Develop Relationships and Networks
• Applying Expertise & Technology
• Information Processing / Analysing / Problem Solving
• Deciding and Initiating Action
• Persuading, Influencing & Negotiation
• Writing and Reporting
• Learning and Researching
• Presenting & Communicating Information
• Customer Orientation
• Results Focus / Driving for Results
• Cultural Interpersonal Effectiveness
• Adhering to Principles and Values
• Planning and Organising