Claims Associate

Requirements:

• 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