Description:
Are you an experienced Claim Handling professional with experience in a large insurer?
If you are keen to develop your skills and progress your career within one of the worlds largest insurers then we would love to hear from you !
This role plays a key part of our South African Claims function and requires delivery of efficient and professional claims' service across the Property portfolio in South Africa.
The primary function is to achieve the best possible outcome of all claims presented by working closely with TPA’s, brokers and clients and offering support when required and to ensure that only claims that fall within the scope of the cover are paid accurately and efficiently.
Another key element is ensuring that sound and thorough practices are adhered to when performing coverage & loss verification analyses and liaising with the claims managers, local underwriters, finance and other business areas is an integral part of this role.
KEY RESPONSIBILITIES:
- Processing new insurance claims notifications and guiding insured/broker on how to proceed with the claim
- Collecting accurate information and documentation to continue with the assessment of a claim
- Assess claims in accordance with Chubb’s service level and quality requirements and the General Insurance Code of Practice. This includes determining coverage, reserving within timeframes, making payments, responding to customer queries, providing updates, and requesting additional information as needed to manage a claim.
- Ensure systems, procedures and controls are followed and make sure claims are investigated adequately, reserves are posted promptly and accurately and are monitored and updated timeously.
- Ensure that valid claims are paid and provide support in respect of all high profile claims that impact the business and ensure they are brought to a successful conclusion. This may involve liaison with policyholders, other professionals, insurers, loss adjusters, brokers, attorneys, LOB heads and third parties by letter, telephone, or meetings.
- Monitor performance and processes of service providers, raising breaches to Claims Management.
- Handling any complaints associated with a claim and alert underwriters on accounts that attract high frequency losses for preparation of renewal terms
- Monitoring and handling of any recoveries and applying the Key fraud Indicators to the claims. Ensuring the customer is treated fairly and that the customer receives excellent service.
REQUIRED SKILLS AND EXPERIENCE:
- Relevant Insurance Industry Qualifications preferred
- Claims experience required (Property experience advantageous)
- Strong negotiation, written and verbal communication skills
- Demonstrable Claims product knowledge with a strong Client Focus
- Results driven with ability to handle high claims volumes daily
- Able to work under pre...