Claims Specialist - Marine (Insurance)

Claims Specialist - Marine

Our client in the Insurance Industry is looking to hire a Claims Specialist - Marine.

Duties and Responsibilities

Key Tasks & Accountability

Effective Processing of Claims

• Promptly handle marine claims and take responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focussed claims service.
• Develop a claims case strategy to ensure that appropriate reserves are assigned, investigations conducted, and appropriate suppliers engaged.
• Acquire and efficiently organise the relevant evidence and information to accurately assess the value of the claim and to recognise potential fraud and recovery indicators.
• Review, resolve, and proactively finalise claims within authority limits ensuring settlement at an optimum level.
• Prepare reports and engage with reinsurers and global claims on cases that are likely to exceed retention.
• Adhere to local regulatory and governance requirements throughout the life of the claim to ensure that decisions are made using the right standards.
• Refer to customer‑specific claims handling protocol and/or customer proposition service charter to ensure that the needs and expectations of customers are understood and fulfilled.

Requirements

• Degree
• 5 years+ specific claims experience
• Technical knowledge of products and services
• Expert technical claims handling knowledge across a broad range of lines of business / claim types
• Knowledge of legal systems and interpretation of legal liability
• Knowledge of industry standards and protocol
• Understanding of claims market agreements within various territories and how to access the specific knowledge
• Previous experience in managing and handling difficult coverage issues; ability to provide examples
• Awareness of litigation process through all courts.
• Knowledge of how to identify and engage with lead experts.
• High level awareness of interdependencies with other company functions (Finance, Reinsurance, Marketing, Actuarial, Underwriting and Legal)
• High level awareness of market/industry issues
• Recognise relevance of customer proposition and how to interpret specific handling requirements
• Recognise the benefit of providing excellent customer service
• Ability to articulate how to prioritise and work to deadlines
• Desire to learn and be flexible to business change

Relationship

Internal

• Report to manager
• Engage and collaborate with other colleagues within the Claims Functions
• Engage and collaborate with other Functions such as Underwriting
• Engage and inform internal customer stakeholders

External

• Always working lawfully and in accordance with pre‑defined regulatory compliance and financial requirements.
• Work at all times in accordance with procedures, group/company policy, processes and controls e.g. the Internal Control Framework.
• Ability to recognise and understand appropriate legislative regulations specific to each territory covered within the role.

To apply, use the link: http://aaaa.co.za/submit-your-cv/

ATripleA Recruitment and Temps

www.aaaa.co.za

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