South Africa: Marine Claims Specialist posted by AtripleA recruitment & temps

The Marine 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.

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 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:
• 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.