Claims Specialist (Insurance) - Johannesburg
Johannesburg Claims Specialist 25000 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 .co.za ATripleA Recruitment and Temps wwwco.za ATripleA recruitment vacancy Claims Development Specialist
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