الصفحة الرئيسية جنوب أفريقيا Claims Specialist - Marine (Insurance)

الصفحة الرئيسية جنوب أفريقيا Claims Specialist - Marine (Insurance)

Claims Specialist - Marine (Insurance)

دوام كامل في a Laimoon Verified Company في South Africa
نُشرت يوم May 9, 2024

تفاصيل الوظيفة

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.

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