Loss Adjuster

Nedbank -
Cape Town, Western Cape

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Job Details

1 day ago

Full Job Description

Job Classification

Job Requisition: 146666
TA Specialist: Refilwe Falatsi
Closing Date: 27 July 2026
Location: Clocktower Campus, V&A Waterfront, Cape Town
Cluster: Personal and Private Banking | Nedbank Insurance | Operations | Support Services - Loss Adjusters
Employment Equity Statement: Preference will be given to applicants from Underrepresented Groups

FAIS Affected

FAIS Affected - Yes

Job Purpose

To manage, control and attend to contractor audits, desktop and field assessments and enforce correct interpretation of the Nedbank Homeowners insurance policy with panel service providers and clients. Perform a mentoring and coaching support function to the Nedbank Insurance claims assessors and service providers on products and technical aspects where specialised knowledge is required in resolving intricate challenges regarding claims relevant to Homeowners insurance policy cover.

Job Responsibilities

The types of claims dealt with include any building related claims such as burst geysers & pipes with resultant damage, storm damage to properties, flooring, interior cosmetic repairs to properties, electrical and electronic work etc.
Validation of claims by means of underwriting, review of previous claims history and referencing and verifying the details of the insured peril as reported by the service provider in line with the relevant policy wording: Validation electronic equipment/ machinery breakdown claims and review reports from electrical SP’s.
Identifying what is required and outstanding from client. Comparing information collected to the policy requirements and claim details presented.
Determining equivalent replacement and determine risk.
Quantification and cost management in determining the scope of work compared to agreed rates on buildings related claims as well a ensuring visible damages are reflected on the mandatory photos from the insured or service provider Risk management, detect and identify fraudulent claims and any overcharging by clients and service providers. Perform risk management function by identifying underwriting risks and identifying inadequate Sum Insureds of dwellings for physical RCV where necessary.
Ensure adherence to all legislative requirements. Make balanced and informed decisions by identifying, analysing, interpreting, and applying relevant data.
Manage cross functional relationships through consistent feedback on workflow progress.
Mitigate risk through the application of technical skill by verifying, formulating and managing special conditions, sign-offs, consents and any other requests from the business.
Contribute to Nedbank Insurance business by sharing Industry experiences and providing input on issues that impact bank and industry policies and procedures.
Support the achievement of the business strategy, objectives and values by reviewing systems, process, services and ensure solutions are aligned.
Identify training courses and career progression for self through input and feedback from management.
Ensure all personal development plan activities are completed within specified timeframe.
Ensure professional conduct when dealing with all stakeholders through.
Share knowledge and industry trends with team and stakeholders during formal and informal interaction.
Reporting and operational efficiency.
Ensure quality and accuracy of reports, pricing and workmanship rendered by service providers.

Job Responsibilities Continue

Validation of claims according to the various insurance policies in place.
Liaising with clients, service providers, procurement, underwriting, FNOL, GFS and claims.
Finalise all reports and administration.
Making decisions, handle all administration and telephonic queries arising around that Quantification by either drafting a scope of work and finalizing the cost of the claim according to agreed rates or comparing quotations and reports received from service providers and clients compared to the scope of work and agreed rates.
Managing the cost from the start of the claim until the claim is finalized within the set parameters and agreed scope of work.
Handling and resolving complaints and queries from clients, internal stakeholders as well as external stakeholders such as builders, engineers etc.
Conduct all the above to the required performance and quality standards that are in place.

People Specification

The ideal candidate should demonstrate the following:

A way of work that anticipates the requirements of various stakeholders when engaging through all mediums of communication
A passion for consensus-based decision making
The ability to deliver in a high-pressure, innovative environment
Curiosity and comfort with numbers and large data sets
A level of influence that creates buy-in and win-win outcomes with stakeholders
Excellent negotiation skills
The ability to engage at strategic, tactical and operational levels of the business
Excellent verbal and written interpersonal skills
Ownership of personal development

Essential Qualifications - NQF Level

Matric / Grade 12 / National Senior Certificate
Advanced Diplomas/National 1st Degrees

Preferred Qualification

BSc in Construction studies or BComm – Quantity Surveying.
A tertiary qualification or significant progress towards obtaining any construction or built environment related qualification would be highly beneficial.
FAIS Accreditation or a FAIS recognized qualification will be highly beneficial.

Essential Certifications

FAIS Regulatory Examination 1 qualification

Minimum Experience Level

4 years' experience in loss adjusting, with strong technical knowledge of the buildings industry and the associated cost and workmanship variables.
Building/ Electrical/ Machinery/ Breakdown claims experience

Technical / Professional Knowledge

Banking knowledge
Business Acumen
Data analysis
Governance, Risk and Controls
Industry trends
Principles of financial management
Principles of project management
Relevant regulatory knowledge
Relevant software and systems knowledge
Decision-making process

Behavioural Competencies

Building Partnerships
Earning Trust
Coaching
Collaborating
Decision Making
Work Standards
Leadership Disposition
Planning and Organizing

Please contact the Nedbank Recruiting Team at +27 860 555 566

Apply Now

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