Our client in the Insurance Industry is looking to hire a Claims Specialist – Marine.
Duties and Responsibilities
Key Tasks & Accountability
Effective Processing of Claims
· 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
· 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 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 the Internal Control Framework
· Ability to recognise and understand appropriate legislative regulations specific to each territory covered within the role.
