Associate - Claims

Primary Responsibilities
Strategy and Planning Policy, Process and Procedures Maintaining current knowledge of insurance guidelines and policy changes and modifications Environmental Awareness/Customer Focus Maintain good relationships with the insured, agents, service providers and other internal counterparts Respond to requests in accordance with service standards Provide information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out Technical Performance Receiving, recording and processing all incoming insurance claims Interpreting basic policy coverages and determining if coverages apply to claims submitted, escalating issues as needed Setting reserves and settling claims in the most cost effective manner and ensuring timely issuance of disbursements Identifying suspicious or potentially fraudulent claims, notifying supervisor, arranging investigation and briefing solicitors if further action is to be taken People Management Nil Preferred Competencies/Skills
Good communication and interpersonal skills Sound PC skills with fast and accurate typing Able to work independently and ensure quality service standard provided Preferred Education Specifics
Tertiary education Preferred Experience
Minimum 3+ years experience in insurance services Preferred Licenses/Certifications
Professional qualification in insurance or related disciplines Preferred Knowledge
Basic claims knowledge and understanding of insurance