Senior Claims Technician

The incumbent is responsible for the prompt executing of the claims process from beginning to end, ensuring all incoming claims are registered, and that decisions on the extent and validity of a claim made on Insurance Policies are dealt with efficiently and equitable.

KEY POSITION RESPONSIBILITIES: 

• Acknowledge receipt of the claim and provide advice on making a claim and the processes involved.
• Guide customers through the claims process, collect accurate information and documents to proceed with a claim.
• Analyse claim to determine whether to appoint Investigators, Adjusters and/or other similar industry professionals.
• Monitor the progress of a claim through continuous follow-up and timely updates to the Claimant.
• Liaise with Internal Teams, other Insurance Companies, Brokers, Adjusters, Investigators and Service Providers for updates, reports and/or advice.
• Accompany Investigators and/or Adjusters where required to be part of the survey and reporting process.
• Liaise with the Internal Technical & Legal Units, Attorneys as well as other professionals where required to effectively manage and negotiate the terms of a claim.
• Contact persons from the company's network of approved professionals (Garages, Repairers, General Contractors) and coordinate with them to effect repairs.
• Review new claims, collect and verify documents received for accuracy and completeness and request/obtain essential information to advise clients/claimants.
• Analyze a claim made by a Policyholder to establish whether it satisfies the Terms and Conditions of the Policy.
• Assist Clients where necessary in completing the relevant forms.
• Analyze claim to determine appointment or investigator or internal and/or external adjusters in accordance with claims guidelines.
• Conduct surveys and generate reports on all motor and property claims to determine whether contribution by the customer would apply.
• Inspect property damage to determine extent of damages and follow up with completion of internal worksheet
• Effectively use core operating systems to manage all aspects of incoming claims including policy notes and digital files for each client ensuring that files are in the correct action at each stage of the claims process.
• Review incoming reports to ensure recommended settlement from external adjusters and/investigators are equitable to all parties.
• Review reports in conjunction with Supervisor/Manager to ensure fair and amicable resolution. 
• Provides typing and clerical services to ensure prompt dispatch of correspondence.
• Initiate the claim recovery process in accordance with Company's guidelines and procedures.