Casualty Claims Handler-Bryte Insurance Company Limited

Job Status: Active âś“

https://jobking.co.za/70882

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Company Bryte Insurance Company Limited
Reference # CCH
Contract Type Permanent
Salary Market Related


Introduction
The Casualty Claims Handler’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.


Job Functions
Administration,Client Services,Data Capturing,Data Management

Industries
Insurance

Specification
•Promptly handles casualty claims and taking 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/recovery indicators
•Reviews, resolves and proactively finalises claims within authority limits ensuring settlement at an optimum level
•Is a referral point for cases escalated by complex claims handlers
•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 & fulfil the needs and expectations of our customers


Requirements

Qualifications/Experience:


Qualification
•Matric (Preferable with Degree)
•3 years claims handling/ adjustment experience

Experience
•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 injury types and the interpretation of medical evidence
•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

Success Measures
•To work towards and deliver both personal and claims business objectives, in line with the Bryte Global Claims Scorecard:
•Financial Effectiveness
•Operational Efficiency
•Customer Satisfaction
•Compliance
•Personal Professional/technical competency and development
•Measured for adherence to customer protocol/service charter


Mobility
Ability to travel within defined geography 0-40% (time in role)


Compliance
•Working at all times lawfully and in accordance with pre- defined regulatory compliance and financial requirements Working at all times in accordance with procedures, group/company policy, processes and controls e.g. the Internal Control Framework
•Ability to recognise and understand appropriate legislative regulations specific to each territory covered within role


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Job id : , #70882, 21 views,