Johannesburg: Claims Specialist – Marine (Insurance) posted by AtripleA recruitment & temps

About the Role

Our client in the Insurance Industry is seeking a highly skilled Claims Specialist – Marine to join their team. As a key member of the claims function, you will be responsible for handling marine claims and providing exceptional customer service.

Key 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.

• Develop a claims case strategy to ensure that appropriate reserves are assigned, investigations conducted, and appropriate suppliers engaged.

• Acquire and efficiently organise the relevant evidence and information to accurately assess the value of the claim and to recognise potential fraud and recovery indicators.

• Review, resolve, and proactively finalise claims within authority limits ensuring settlement at an optimum level.

• Prepare reports and engage with reinsures and global claims on cases that are likely to exceed retention.

• Adhere to local regulatory and governance requirements throughout the life of the claim to ensure that we make decisions using the right standards.

• Refer 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

• Ability 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

• Recognise 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

Qualifications

No formal education or certifications are required for this role.

Salary & Benefits

Salary details are not available at this time.