Our client in the Insurance Industry is looking to hire a Claims Specialist. Duties and Responsibilities 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. Develop a claims case strategy to ensure that appropriate reserves are assigned, investigations conducted, and appropriate suppliers engaged. Acquire and efficiently organise the relevant evidence and information to accurately assess the value of the claim and to recognise potential fraud and recovery indicators. Review, resolve, and proactively finalise claims within authority limits ensuring settlement at an optimum level. Prepare reports and engage with reinsurers and global claims on cases that are likely to exceed retention. Adhere to local regulatory and governance requirements throughout the life of the claim to ensure that we make decisions using the right standards. Refer 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. Requirements 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. Previous experience in managing and handling difficult coverage issues with 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 Company 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. Ability to articulate how to prioritise and work to deadlines. Send your CV and latest pay slip to raca@aaaa.co.za ATripleA Recruitment and Temps www.aaaa.co.za Posted 2024-03-10 #J-18808-Ljbffr