Commercial & Personal Lines Underwriting & Claims Consultant

Duties & Responsibilities

• Claims Administration
• Administer complete claims process according to defined claims procedures until claims are settled
• Apply policy terms and conditions
• Ensure accurate and timely claims processing
• Make assessment of claims validity and estimate value and administer mandated claims
• Act as intermediary between insurer and client and timeously relay communication, requests and documentation
• Engage with insurers regarding recoveries, diarise follow-ups and keep clients informed
• Ensure productivity targets are met
• Contribute towards and ensure continuous improvement in own and team performance
• Adhere to company mandates
• Participate and contribute in ad hoc projects
• Report any suspected fraud, misrepresentation and / or dishonesty
• Collect, review and analyze a clients relevant history and records and obtain additional information (as required) to accurately determine the level of risk for insurance purposes.
• Effect amendments to all policies on the system and send to the client as requested
• Liaise with the client to ensure all information / certificates are accurate and recorded on the system.
• Liaise with Management or relevant specialists to negotiate / discuss risk assessment.
• Analyse statistical information using in-house programmes to ensure premiums are competitive and that loss ratios remain profitable.
• Liaise with clients to specify conditions imposed on each policy
• Adhere to legal requirements, industry regulations and customer quality standards sent by the company.
• Continually build and maintain good working relationships with stakeholders.
• Perform the underwriting function according to the paperless system of operation / data management.

Desired Experience & Qualification

RE 5 and minimum NQF4 qualification and Matric