alogosmall
Claims Negotiator (Ref: KHCN)
Remuneration: Market Related

Position in the Legal sector in Bedfordview - Gauteng
Posted On Wednesday 22 May 2019
Job Description:

Large Underwriting Firm is looking for results orientated, strategic thinker who follows a decisive and proactive approach. A team player that is committed to acting with integrity, responsibility, and accountability who will contribute to the organisational goals by processing (from registration through to settlement) and validating insured’s (& Third parties’) claims within reasonable time frames to meet the insured’s needs and requirements.

Main job function

Operational

Sound knowledge of claims principles in industry including Claims management

Actively manage and oversee start to end of claims function.

Contribute to the growth and profitability of the Company by providing excellent service and maintaining relationships

Manage and organize day to day operations by establishing priorities to ensure registering, handling and settling of claims on Company’s delegated authority and at the same time maintain the standards of the claims department

Controlling of registers, compliance with SLA’s, diary management, quantum, recoveries, salvage and secure proper claims maintenance.

Assess the claims internally

Ensure all technical aspects for claims settlement are adhered to

Negotiate settlement of the claims with all relevant stakeholders

Daily diary files to be extracted and dealt with e.g. letters of demand, final notices reminders and follow up assessors’ reports

Processing payments on system

Registering claims with the reinsurers/co insurers companies.

Facultative reinsurance & co-insurance recoveries

Monitor and periodically review estimates

Appointment of investigators, assessors, loss adjusters and other experts if necessary

Negotiate discounts to reduce costs with repairers, service providers and partners, without compromising quality or harming client retention initiatives

Attend to Third party claims in terms of the Plant and Contractors Third Party Liability cover

Signing off of third party releases.

Third Party recoveries.

Relationship Management

Liaising in a professional manner with brokers and other insurers in respect of claims aspects

Following up on regular intervals and provide constructive feedback to brokers and management

respond to queries within 24 hours

Liaising with attorneys, giving instruction to attorneys to act on Insurers behalf;

Work with different people internally and externally to improve service, efficiency, and improve presentation of information.

Procure service providers and partners, negotiate costs.

Actively build, improve and maintain relationships with all stakeholders, i.e. internally and externally. Meet with brokers, service providers, partners and other divisions to ensure challenges they may face are addressed.

Qualifications:

Admitted attorney

LLB

Commercial Insurance Industry claim knowledge

Prepared to study towards a full FAIS qualification

Must do Regulatory Representatives exam

Experience:

Minimum of 5 years’ experience in claims

Bilingual

Efficient in word, excel and outlook

Good communicator (verbal & written)

Must be a problem solver (able to assimilate large amounts of information and apply policy wording)

Must have a legal background with claims experience.

Salary negotiable for correct candidate depending on experience and knowledge

A Consultant will be in touch if you are shortlisted for the position.  Please consider your application unsuccessful should you not have been contacted within 2 weeks.  We will keep your CV on our database and contact you should you match the criteria of any other vacancies.

Please contact Kay Henderson