JohannesburgClaims Specialist – Marine18 000Our client in the Insurance Industry is looking to hire a Claims Specialist – Marine.Duties and ResponsibilitiesKey Tasks & AccountabilityEffective Processing of Claims· 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 reinsurers 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.Requirements5 years + specific claims experienceTechnical knowledge of products and servicesExpert technical claims handling knowledge across a broad range of lines of business/claim typesKnowledge of legal systems and interpretation of legal liabilityKnowledge of industry standards and protocolAble to understand the claims market agreements that exist within the various territories and how to access the specific knowledgeHave had previous experience in managing and handling difficult coverage issues and be able to give examplesAwareness of the litigation process through all courts.Knowledge of how to identify and engage with lead experts.High level awareness of interdependencies with other Company Functions (Finance, Reinsurance, Marketing, Actuarial, Underwriting and Legal)High level awareness of market/industry issuesRecognises relevance of customer proposition and how to interpret specific handling requirementsRecognise the benefit of providing excellent customer serviceBe able to articulate how to prioritise and work to deadlinesDesire to learn and be flexible to business changeRelationshipInternalTo report to managerEngage and collaborate with other colleagues within the Claims FunctionsEngage and collaborate with other Functions such as UnderwritingEngage, and inform internal customer stakeholdersExternal· Always working lawfully and in accordance with pre-defined regulatory compliance and financial requirements.· Working at all times in accordance with procedures, group/company policy, processes and controls e.g. the Internal Control Framework.· Ability to recognise and understand appropriate legislative regulations specific to each territory covered within the role.
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