Description

1. Handle Claim Notifications: Promptly receive and log claim notifications, ensuring all necessary information is captured accurately.
2. Collect Documentation: Gather and verify required documentation such as police reports, medical records, and repair estimates to support the claims process.
3. Enter Claim Information: Accurately input claim details into the system, maintaining up-to-date records.
4. Review Policy Contracts: Examine policy contracts to determine coverage, identify exclusions, and ensure compliance with policy conditions.
5. Update Claimants: Regularly communicate with claimants to provide updates on the status of their claims and expected timelines.
6. Resolve Inquiries: Address and resolve customer inquiries and concerns promptly, ensuring a high level of customer satisfaction.
7. Liaise with Agents and External Partners: Coordinate with agents, brokers, and external partners to gather necessary information and facilitate the resolution of claims.
8. Maintain Claim Files: Keep organized and up-to-date claim files, ensuring all correspondence and documentation are properly filed.
9. Prepare Correspondence: Draft and send correspondence related to claims, including settlement offers, service agreement forms, offer letters, and release documents within authority limits.
10. Ensure Compliance: Ensure all claim-related activities comply with legal requirements, industry regulations, and company policies.
11. Obtain Estimates: Assist in obtaining initial estimates for repairs or replacements and conduct cost comparisons as necessary.
12. Visit Accident Scenes: Visit accident or incident scenes to gather information and assess damage.
13. Inspect Vehicles: Inspect vehicles and parts at service providers, garages, and wrecker yards to verify damage and repair needs.
14. Liaise with Law Enforcement: Communicate with law enforcement regarding reports, stolen vehicles, and related matters.
15. Generate Reports: Produce regular reports on claim statuses and activities for management review.
16. Adjust Claim Reserves: Monitor and adjust claim reserves as necessary to reflect the current status of claims.
17. Ensure Compliance: Ensure all activities comply with industry regulations and company standards.
18. Assist in Audits: Support audits and reviews of claim files and processes to ensure accuracy and compliance.

1. Pursuing general insurance professional certification or tertiary level qualification in business or other related field
2. At least one year’s experience in general insurance claims administration
3. Knowledge and experience in General Insurance Underwriting.
4. Knowledge and experience in Insurance Claims Adjusting is an asset.
5. Strong communication and interpersonal skills with the ability to effectively communicate and work collaboratively with people at all professional levels, specialties, and roles.
6. Must show good planning, time management, and organizational skills, paying keen attention to detail, sound report writing skills,
7. Ability to assess a situation objectively and to work on initiative.
8. Ability to be discerning and diplomatic and fair
9. Must be flexible, logical, organized, analytical, and have the ability to make sound recommendations to superiors
10. Ability to work well under pressure
11. Strong knowledge of Microsoft office suite