Claims Specialist (Insurance), Johannesburg

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

ATripleA Recruitment and Temps

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