Claims Handlers with minimum 5 years Financial Services Industry and Short-Term Insurance Domestic claims experience required to manage, negotiate settlements and finalize claims beginning to end.
Register motor / non-motor claims for personal and commercial policies
Confirm and make sure that cover is sufficient
Responsible for handling of and settling of claims for clients allocated and ensuring accurate capturing and updating on all data systems.
Manage the claim from start through to settlement stage
Gathering information about the insurance claim from the client and any others involved
Examining the details on completed forms and checking these against the cover provided by the insurance policy
Consulting with other staff to decide the outcome of the claim and any compensation to be paid
Informing the client of the outcome of the claim in writing
Maintaining and updating computer records and hard copy paper files relating to claims
Referring large or complex claims to other professionals such as a loss adjuster.
Determine merits based on facts and investigation of reports presented
Settle claims within set parameters to avoid leakage
Obtain all information required for settlement or rejection of claims
Draft rejection letters and submit to Manager/s for approval
Do continuous adjustments of reserves
Arrange / deal with the fulfilment of the following:
Car hire for insured in the event of an accident where vehicle not drivable or of car
has been stolen.
Arrange contractors to assist insured with obtaining critical documents to support claim
Manage salvage process – motor & non-motor salvage right through to recovery payment received
Ensure appointment of suitable loss adjusters /assessors and ensure proper instruction and follow up on accounts / policies where authorised to do so.
Follow up with loss adjustors/assessors periodically/ daily if required
Ability to negotiate claims with clients, service providers and Insurance market.
Keep detailed, dated file notes of all discussions on the claim files.
Ability to negotiate contentious claim with Insurance market and clients.
Potential errors and omissions must be immediately referred to Claims Manager.
Responsible for completion of claim files upon finalisation of claim and do filing
Ensure that claims files are maintained in accordance with operational standard and company procedures
Daily system updates (Such as diary & daily mail)
Detail Prompt feedback and handling of complaints (internal & external)
Ensure resolution of queries and complaints speedily
To submit and provide broker feedback & reports as per agreed timelines.
Ensure a pleasant claims experience
Facilitate and maintain sound working relationships with clients, colleagues, markets, and service providers, including but not limited to local markets.
Provide increased threshold loss ratio reports when profitability limit (60% Loss ratio) reached through to commercial underwriting
Ensure policy maintenance after a claim is completed. – update commercial underwriting of increased loss ratio
Do recommendations to reduce risk to the company and for underwriting purposes
Maintain records of all reports submitted to clients.
Minimum 60 FAIS credits
Minimum 5 years Financial Services Industry and Short-Term Insurance Domestic Claims experience essential
Ability to liaise with brokers/clients in English & Afrikaans
Efficient in word, excel and outlook
Multi-skilled, knowledge of different industry policy wordings advantages