South Africa
23 days ago
Marine Claims Specialist
<< Back to Careers Marine Claims Specialist

Rosebank

Job description:

The Marine Claims Specialist’s role is to, with limited supervision, manage the non-standard complex claims high severity/complexity in the most effective, efficient way whilst delivering a customer centric claims service.

Key Tasks & Accountabilities:

·         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.

Qualification & Experience:

·         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 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 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.

·          Desire to learn and be flexible to business change.

Relationships Internal:

·         Internal Manager 

·         Claims Functions

·         Underwriting 

·         Internal customer stakeholders

 

External:

·         Customers and third parties Suppliers Brokers and Intermediaries 

·         Customer proposition service charter 

·         To participate and facilitate in discussion with customers in matters concerning proposition development, retention opportunity and attendance at customer meetings. 

·         To ensure that customers are kept informed on a case-by-case basis, transference of technical knowledge/guidance/education and on the wider aspect of attitude/cost of risk.

Posted 2024-05-24

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