<< Back to Careers Claims Specialist (Insurance)

Johannesburg
Claims Specialist
25000

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

www.aaaa.co.za

# ATripleA # recruitment # vacancy # Claims# Development# Specialist

Posted 2023-07-13

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