Claims Manager: Commercial and Domestic
This position will be well suited for a strategic thinker who follows a decisive and proactive approach; Results orientated and thrives within a high-pressure dynamic environment.
Sound knowledge of claims principles in industry including Claims management
Actively Manage and oversee start to end claims function of the claims handlers in the division and assist them technically.
Contribute to the growth and profitability of the Company by providing excellent service and maintaining relationships
Manage and Organize day to day operations by establishing priorities to ensure Registering, handling and settling of claims on Company’s delegated authority and at the same time maintain the standards of the claims department
Ensure at all times resourcing is effectively and efficiently in place, to service the work load.
Controlling of registers, authorization and signing of claims payments, compliance with SLA’s, diary management, quantum, recoveries, salvage and secure proper claims maintenance.
Assess the claims internally
Ensure all technical aspects for claims settlement are adhered to
Negotiate settlement of the claims with all relevant stakeholders
Authorise payments on large losses.
Daily diary files to be extracted and dealt with e.g. letters of demand, final notices reminders and follow up assessors’ reports
Registering claims with the reinsurers/co insurers companies.
Facultative reinsurance & co-insurance recoveries
Monitor and periodically review estimates
Provide weekly feedback to the management team on claims.
Compile and distribute claims reports to the management team
Monitor trends and unusual claims and prepare risk report for underwriters and senior staff
Prepare risk reports and claims reports and present to senior managers and Exco periodically.
Analysis and presentation of management reporting to deliver transparency of claims performance against business goals and direct actions for improvement
Coordinate the claims teams to ensure service delivery
Auditing outstanding & paid claim files to ensure that all company procedures are followed
Appointment of assessors & loss adjusters and other experts if necessary
Negotiate discounts to reduce costs with repairers, service providers and partners, without compromising quality
Attend to Third party claims in terms of the Contractors Third Party Liability cover
Signing off of third-party releases.
Third Party recoveries.
Develop and support the delivery of functional strategies, targets, operational plans through consistent, transparent and aligned processes across the business.
overseeing its implementation and setting control measures
Supervision & training of claims staff
Oversee the development needs of staff
Set key performance deliverables; allocate work and responsibilities, measure performance
Ensure delivery of best practice.
Drive claims improvement
Find innovative ways to improve the overall claims process
Direct organisational change decisions within claims functions, directing change activity and engaging with relevant stakeholders to meet the overall objectives of any change programme.
Motivate, coach, and develop staff to maximise potential and develop desired organisational culture and succession plan.
Build and maintain relationships and deliver positive perception with internal and external stakeholders.
Liaising in a professional manner with brokers and other insurers in respect of claims aspects
Following up on regular intervals and provide constructive feedback to brokers and management
respond to queries within 24 hours
Work with different people internally and externally to improve service, efficiency, and improve presentation of information.
Procure service providers and partners, negotiate costs.
Actively build, improve and maintain relationships with all stakeholders, i.e. internally and externally.
Meet with brokers, service providers, partners and other divisions to ensure challenges they may face are addressed.