Date | 2024-10-23 |
---|---|
Job Title | Senior Claims Officer |
Employer | The Working Earth More Information |
Salary | 0 |
Category | Sales Marketing |
Location |
Gauteng / Gauteng |
Job Summary
Qualifications:
- A bachelor`s degree in insurance, law, risk management, business administration, or a related field.
- Professional certifications like the IISA are strongly preferred.
- Minimum of 5 years of experience in reinsurance claims handling, with a focus on complex and high-value claims.
- Demonstrated ability to lead and mentor claims teams in a senior role.
Skills:
- A deep understanding of reinsurance contracts claims processes, and industry best practices.
- Strong analytical and problem-solving abilities, with the capacity to make informed decisions under pressure.
- Excellent leadership and people management skills, demonstrated by the ability to motivate and develop team members.
- Exceptional negotiation skills, particularly in handling complex claims and resolving disputes effectively.
- Proficiency in claims management systems and Microsoft Office Suite.
Job description:
- Conduct in-depth investigations of complex reinsurance claims to determine coverage, liability, and loss amounts.
- Interpret reinsurance contracts and policies to determine coverage and obligations.
- Accurately assess and quantify losses, considering factors such as physical damage, business interruption, and liability.
- Negotiate with cedents, claimants, and other parties involved in the claim to reach fair and equitable settlements.
- Resolve disputes and conflicts that may arise during the claims process.
- Authorize and process claim settlements within established guidelines and procedures.
- Estimate and manage loss reserves to ensure adequate financial provisions for future claim payments.
- Adjust reserves based on claim developments and changes in loss estimates.
- Identify and investigate potential fraudulent claims.
- Implement measures to prevent fraudulent claims and minimize losses.
- Lead and mentor junior claims staff, providing guidance and support.
- Evaluate the performance of team members and provide feedback and coaching.
- Identify training needs and develop training programs for team members.
- Ensure compliance with all relevant insurance regulations and industry standards.
- Stay informed about changes in regulations and adjust practices accordingly.
- Analyze claim data to identify trends, risks, and opportunities for improvement.
- Prepare and submit reports on claim activities and performance to management.
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