Senior Claims Associate

Senior claims associate

Purpose of Job

To provide guidance, process reported incidents/accidents and to negotiate the best claim settlement in the requisite timelines on the client’s behalf. Further to administer and coordinate activities of the Claims Department, where required.

Principal Responsibilities

Minimum education and and experience

Key Competencies

• Accurately record verbal and written incident/claim reports from and on behalf of clients within the stipulated timelines.
• Evaluate clients' portfolio to determine appropriate coverage for filing claim.
• Provide guidance to customers in the reporting and preparation of claims, including the completion of Claim Forms, where necessary.
• Observing the weekly follow-up system and maintaining the client contact as required.
• Ensure claims updates on the system are current, and made available to the Underwriting departments.
• Negotiate terms and quantum of claims with Adjusters, Insurers and Clients.
• Offer assistance and advice on technical matters to members of staff under supervision.
• Assist in training staff via day-to-day interaction on the job.
• Generate quarterly reports of all outstanding claims; conduct reviews with corporate clients and assist in the annual review of all outstanding claims.
• BSC in Management Studies
• At least two (2) years experience working in the General Insurance Industry in Claims.
• Diploma in Insurance Studies or pursuing the ACII or its equivalent.
• Working knowledge of Motor, Property, Liability and Personal Accident classes of general insurance.
• Good negotiation skill with experience in dispute resolution.
• The ability to work on own initiative.
• The ability to communicate effectively, both orally and in writing.
• Excellent organizational and supervisory skills.
• Good time management and organizational skills.
• Excellent problem solving skills.
• Must be able to handle multiple priorities.