Professional qualification in insurance or related disciplines.
Basic claims knowledge and understanding of insurance
Job Description:
Maintaining current knowledge of insurance guidelines and policy changes and modifications
Environmental Awareness/Customer Focus
Maintaining good relationships with the insured, agents, service providers and other internal counterparts
Responding to requests in accordance with service standards
Providing information and feedback on claims activity and developing trends to underwriters/risk assessors to enable appropriate actions to be carried out.
Receiving, recording, and processing all incoming insurance claims
Interpreting basic policy coverages and determining if coverages apply to claims submitted, escalating issues as needed.
Setting reserves and settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
Identifying suspicious or potentially fraudulent claims, notifying supervisors, arranging investigations, and briefing solicitors if further action is to be taken.
Skills Required:
Good communication and interpersonal skills
Sound PC skills with fast and accurate typing
Able to work independently and ensure quality service standard provided
