Johannesburg
Claims Specialist – Marine
18 000
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.
· 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 reinsurers 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
- Desire to learn and be flexible to business change
Relationship
Internal
- To 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.
· Working 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.
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