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Claims Examiner - Third Party

Claims Examiner - Third Party

AIGJohannesburg, ZA
18 days ago
Job description

Job title : Claims Examiner - Third Party

Job Location : Gauteng, Johannesburg

Deadline : October 11, 2025

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Responsibilities :

  • Receive approaches from uninsured and insured third parties, acknowledge receipt.
  • Register and validate third party only claims.
  • Assess and confirm merits of the claims.
  • Request quantum / outstanding documents from the third party if applicable.
  • Decide if claim is payable based on documentation provided.
  • Appoint assessor based on claim specification.
  • Provide updates to third party and insured / broker.
  • Review assessment and draft offer for third party
  • Negotiate fair offer with third party.
  • Send offer and facilitate settlement of signed offer.
  • Close files once settled.
  • Record savings on spreadsheet
  • Maintain relationship with assessors, other insurers and broker / insureds(Litigation)
  • Receive Summons and acknowledge receipt.
  • Verify legitimacy of claim
  • Review summons and decide on action.
  • Appoint attorney based on summon’ s specification.
  • Provide attorney with instruction and documents.
  • Follow up with attorney.
  • Guide attorney on acceptable offer and parameters of negotiating.
  • Settle attorney fees based on acceptable fee scale.
  • Negotiate with attorneys on fees based on settlements.
  • Maintain relationship with attorneys and investigators.
  • Skills

  • Negotiation Skills
  • Conflict resolution skills
  • Math Skills
  • Good Communication Skills
  • Interpersonal Skills
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    Examiner Third Party • Johannesburg, ZA

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