Job Summary

Investigate, evaluate and conclude low complexity personal or commercial line claims by following established protocols to ensure that claims are handled in the most effective, efficient way while delivering a customer-centric claims service.

Job Qualifications

• Min. Bachelor's degree (having an Engineering background is a plus)
• Min. 3 years of experience handling claims for General Insurance (motor or vehicle)
• Understanding of motor vehicle mechanics (automotive & engines)
• Fluent in English, both oral and written

Job Accountabilities - Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information.
• To determine liability by gathering and analyzing relevant factsAnalyse and determine policy coverage.
• Work to have a timely resolution to claims by developing case strategy, developing a case evaluation, escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits.
• Assess damages & negotiate settlement of claim by establishing an appropriate negotiation strategy.
• Meet quality standards by following best practices.
• Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols.
• Aligned to the organization's Claims Vendor Management strategy.
• Ensure legal compliance by following laws and regulations and internal control requirements.
• Refer claim to subrogation and fraud teams.
• Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
• Understand the current with industry trends and establish personal networks and participate in professional societies.
• Manage litigation by assigning counsel within the approved panel where applicable.