Underwriting Managers based in Bellville, Cape Town seek results orientated PI & L 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.
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
Basic knowledge of Insurance Law
Must come from underwriting or insurers background
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
Liaising with specialists/Underwriters and using information gained to finalise claims
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
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.
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
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.