Marine Claims Specialist - Johannesburg, South Africa - Bryte Insurance
Description
The Marine/ Engineering Claims Specialist's role is to, with limited supervision, manage the non-standard complex claims (high severity/complexity) in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Bryte Basics.
Key Tasks & Accountabilities- 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 reinsures 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.
- Degree
- 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.
- Have had previous experience in managing and handling difficult coverage issues and be able to give 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 Bryte 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.
- Be able to articulate how to prioritise and work to deadlines.
- Desire to learn and be flexible to business change.
Internal
- Manager
- Claims Functions
- Underwriting
- Internal customer stakeholders
- Customers and third parties
- Suppliers
- Brokers and Intermediaries
- Customer proposition service charter
- To participate and facilitate in discussion with customers in matters concerning proposition development, retention opportunity and attendance at customer meetings.
- To ensure that customers are kept informed on a casebycase basis, transference of technical knowledge/guidance/education and on the wider aspect of attitude/cost of risk.
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