Claims Specialist (Insurance)

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

Duties and Responsibilities

• 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.
• To develop a claims case strategy to ensure that appropriate reserves are assigned, investigations conducted, and appropriate suppliers engaged.
• Acquires and efficiently organises the relevant evidence and information to accurately assess the value of the claim and to recognise potential fraud and recovery indicators.
• Reviews, resolves, and proactively finalises claims within authority limits ensuring settlement at an optimum level.
• Prepares reports and engages with reinsures and global claims on cases that are likely to exceed retention.
• Adheres to local regulatory and governance requirements throughout the life of the claim to ensure that we make decisions using the right standards.
• Refers to customer specific claims handling protocol and/or customer proposition service charter to ensure that we understand and fulfil the needs and expectations of our customers

Requirements

• 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
• Able to understand the claims market agreements that exist within the various territories and how to access the specific knowledge
• Have had previous experience in managing and handling difficult coverage issues and be able to give examples
• Awareness of the 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
• Recognises relevance of customer proposition and how to interpret specific handling requirements
• Recognise the benefit of providing excellent customer service
• Be able to articulate how to prioritise and work to deadlines

Send your CV and latest pay slip to raca@aaaa.co.za

ATripleA Recruitment and Temps

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