<< Back to Careers Claims Specialist – Marine (Insurance)

Johannesburg
Claims Specialist – Marine
37500

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 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 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: http://aaaa.co.za/submit-your-cv/

ATripleA Recruitment and Temps

www.aaaa.co.za

#atriplea #recruitment #vacancy # Claims# Specialist# Marine

 

Posted 2024-05-15

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