Job Description
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 .za
ATripleA Recruitment and Temps
.za
# ATripleA # recruitment # vacancy # Claims# Development# Specialist
About Other Insurance Jobs in Gauteng
The Other Insurance (OI) industry is a significant sector in Gauteng, South Africa, offering a range of career opportunities for professionals with the right skills and experience. Typically, OI roles are in demand across various industries, including financial services, technology, and manufacturing, as companies seek to manage and mitigate risks associated with their operations.
Generally, OI specialists in Gauteng can expect salaries that vary widely depending on factors such as level of experience, company size, and industry sector. While broad salary ranges cannot be provided due to the variable nature of these factors, it is common for experienced OI professionals to earn between R600 000 and R1 200 000 per annum, while entry-level roles may start at around R300 000 to R500 000 per annum. However, salaries can fluctuate depending on individual circumstances.
Common skills required for OI roles in Gauteng include expertise in financial management, risk analysis, data interpretation, communication, and project management. Other essential skills often include proficiency in insurance software, analytical thinking, problem-solving, and the ability to work under pressure. Many OI professionals also hold relevant certifications or degrees in fields such as actuarial science, business administration, or economics.
The financial services sector is a significant employer of OI professionals in Gauteng, with other industries such as technology and manufacturing also commonly hiring for these roles. Other sectors that may employ OI specialists include healthcare, construction, and logistics. In terms of career development, many OI professionals in Gauteng progress to senior roles within their current organisations or move into related fields such as risk management, auditing, or claims handling.
For those seeking a career in OI, it is essential to develop a broad range of skills and experience, often through formal education and training. Many OI professionals in Gauteng have pursued certifications such as the Fellow of the Institute of Actuaries (FIA) or the Chartered Insurance Practitioner (CIP). Building strong relationships with clients, colleagues, and stakeholders is also crucial for success in this field.
This information provides general career guidance. Actual salaries and requirements vary by employer.
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