Policy Book

Active business policies and coverage detail

Ayanda MokoenaHead of Operations

Your Business Policies

7 policies

Recent Claims

last 24 hours
Claim No.CustomerProductAmountStatusAction

SLA Monitoring

claims processing
Within SLA78%
At risk (>3 days)15%
Breached7%

Claims Frequency vs Severity

Risk Category Distribution

Policy Approval Pipeline

Submitted1,240
Under Review860
Risk Assessed612
Approved542

High-Risk Client Alerts & Renewal Scoring

ClientProductRisk LevelRenewal ProbabilityAction
Thabo NkosiMotorHigh42%
Lerato DlaminiHomeMedium68%
Riaan BothaMotorHigh51%
Amara ChettyLifeLow91%

Suspicious Claims Monitor

AI risk-scored
Claim No.CustomerAmountFraud ScoreStatusAction

Fraud Risk Heatmap

by province

Investigation Workflow

Open cases23
Repeat claimants flagged9
Confirmed fraud (YTD)14

Broker Performance

top 5 by premium volume
BrokerPolicies SoldPremium VolumeLoss RatioRating
Sanlam Direct Brokers1,842R2.4M36%A+
Highveld Risk Partners1,290R1.8M41%A
Cape Coastal Cover980R1.3M52%B
Jozi Underwriters764R0.9M29%A+
Karoo Insurance Agency402R0.5M63%C

Team Productivity

Claims Team112 / day
Underwriting Team64 / day
Customer Service340 / day

Escalations

last 7 days

Live Activity

real-time
Gross Written Premium
R18.4M
Net Underwriting Result
R4.1M
Combined Ratio
88.6%

YTD Performance Comparison

2025 vs 2026