Claims Specialist - Marine (Insurance)

AtripleA Recruitment; Johannesburg; On-site; ZAR 400,000 - 600,000; Full time

Job summary

A reputable recruitment firm is seeking a Claims Specialist - Marine in Johannesburg. The successful candidate will oversee marine claims processing, requiring over 5 years of specific claims experience and a relevant degree. You will manage investigations, engage with reinsurers, and adhere to legal standards. Strong technical knowledge and excellent customer service skills are essential. This position offers the opportunity to work in a dynamic environment, collaborating closely with various stakeholders and departments.

Qualifications

• 5+ years of specific claims experience.
• Technical claims handling knowledge across various lines of business.
• Awareness of litigation processes through all courts.

Responsibilities

• Handle marine claims and resolve customer enquiries.
• Develop claims case strategy and manage appropriate reserves.
• Engage with reinsurers and global claims for settlement.

Skills

Claims processing

Customer service

Technical knowledge of products

Knowledge of legal systems

Ability to handle difficult coverage issues

Flexibility to business changes

Education

Degree

Job description

Claims Specialist - Marine

Our client in the Insurance Industry is looking to hire a Claims Specialist - Marine.

Duties and Responsibilities

Key Tasks & Accountability

Effective Processing of Claims

• Promptly handle marine claims and take responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focussed claims service.
• Develop a claims case strategy to ensure that appropriate reserves are assigned, investigations conducted, and appropriate suppliers engaged.
• Acquire and efficiently organise the relevant evidence and information to accurately assess the value of the claim and to recognise potential fraud and recovery indicators.
• Review, resolve, and proactively finalise claims within authority limits ensuring settlement at an optimum level.
• Prepare reports and engage with reinsurers and global claims on cases that are likely to exceed retention.
• Adhere to local regulatory and governance requirements throughout the life of the claim to ensure that decisions are made using the right standards.
• Refer to customer‑specific claims handling protocol and/or customer proposition service charter to ensure that the needs and expectations of customers are understood and fulfilled.

Requirements

• Degree
• 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
• Understanding of claims market agreements within various territories and how to access the specific knowledge
• Previous experience in managing and handling difficult coverage issues; ability to provide examples
• Awareness of litigation process through all courts.
• Knowledge of how to identify and engage with lead experts.
• High level awareness of interdependencies with other company functions (Finance, Reinsurance, Marketing, Actuarial, Underwriting and Legal)
• High level awareness of market/industry issues
• Recognise relevance of customer proposition and how to interpret specific handling requirements
• Recognise the benefit of providing excellent customer service
• Ability to articulate how to prioritise and work to deadlines
• Desire to learn and be flexible to business change

Relationship

Internal

• Report to manager
• Engage and collaborate with other colleagues within the Claims Functions
• Engage and collaborate with other Functions such as Underwriting
• Engage and inform internal customer stakeholders

External

• Always working lawfully and in accordance with pre‑defined regulatory compliance and financial requirements.
• Work 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 the role.

To apply, use the link: http://aaaa.co.za/submit-your-cv/

ATripleA Recruitment and Temps

www.aaaa.co.za