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Home South Africa Marine Claims Specialist

Marine Claims Specialist

Full time at Bryte Insurance Company Limited in South Africa
Posted on May 8, 2024

Job details

Description The Marine/ Engineering Claims Specialist’s role is to, with limited supervision, manage the non-standard complex claims (high severity/complexity) in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Bryte Basics. Requirements Key Tasks & Accountabilities

  • 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.
Qualification & Experience
  • 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 Bryte 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.
Relationships Internal
  • Manager
  • Claims Functions
  • Underwriting
  • Internal customer stakeholders
External
  • Customers and third parties
  • Suppliers
  • Brokers and Intermediaries
  • Customer proposition service charter
  • To participate and facilitate in discussion with customers in matters concerning proposition development, retention opportunity and attendance at customer meetings.
  • To ensure that customers are kept informed on a case-by-case basis, transference of technical knowledge/guidance/education and on the wider aspect of attitude/cost of risk.

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