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

Position in the Insurance sector in Bedfordview - Gauteng
Posted On Monday 22 July 2019
Job Description:

Underwriting Managers based in Bedfordview seek results orientated Claims Negotiator

Main job function

The Claims Negotiator contributes 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. Results orientated and

thrive within a high-pressure dynamic environment. A strategic thinker who follows a decisive and proactive approach. A team player

that is committed to acting with integrity, responsibility, and accountability.

Qualifications:

Admitted attorney

LLB

Experience:

At least 2 years post admission experience in contracts law and/or litigation

Prepared to study towards a full FAIS/insurance qualification

Must do Regulatory Representatives exam

Engineering insurance industry knowledge is an advantage

Experience in Professional Indemnity and Liability claims would be an advantage

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)

Basic knowledge of Insurance Law

Skills:

The Claims Negotiator must take ownership of claims allocated to him/her and must drive the matter to finality without undue

delays, whilst considering all the information.

Legal/construction expertise

Understanding policy wording/documents (and consulting on intention where necessary)

Drafting legally correct correspondence & documents

Quality control of claims documents

Reporting on claims

Negotiating claims on merit and quantum

Risk Management

Liaising with specialists/Underwriters and using information gained to finalise claims

Problem solving

Decision making for discussion with management

Customer service

Innovation

Understand applicable legislation

Attentive to detail

Need to be able to do extensive research

Ability to analyse a set of circumstances and assemble a comprehensive timeline

Key Responsibilities:

Operational

Sound knowledge of claims principles in industry including Claims management

Actively manage and oversee start to end of claims.

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 best settlements.

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 

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