Claims Specialist - Marine (Insurance), Johannesburg

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: Recruitment and Temps



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