Casualty Claims Technician at Zurich Insurance Company Ltd

Job description

Our opportunity

The Casualty Claims Technician’s role is to, with limited supervision, manage the non-standard complex claims (high severity/complexity) in the most effective, efficient way whilst delivering a customer centric claims service in a manner which supports Bryte Basics.

Your Role

Key Tasks & Accountabilities

• Promptly handles first and third party claims taking responsibility to resolve all enquiries from both customer and external contacts to ensure delivery of a focussed claims service
• To develop a claims case strategy to ensure that appropriate reserves are assigned, investigations conducted and appropriate suppliers engaged
• Acquires and efficiently organises the relevant evidence and information to accurately assess the value of the claim and to recognise potential fraud/recovery indicators
• Reviews, resolves and proactively finalises claims within authority limits ensuring settlement at an optimum level
• Is a referral point for cases escalated by complex claims handlers
• Prepares reports and engages with reinsures and global claims on cases that are likely to exceed retention
• Adheres to local regulatory and governance requirements throughout the life of the claim to ensure that we make decisions using the right standards.
• Refers to customer specific claims handling protocol and/or customer proposition service charter to ensure that we understand & fulfil the needs and expectations of our customers

Qualifications/Experience

Your Skills and Experience

Qualification

LLB Admitted Attorney

Experience

• 5 years + specific claims experience
• Technical Knowledge of products and services
• Expert Technical claims handling knowledge across a broad range of lines of business/claim types
• Knowledge of legal systems and interpretation of legal liability
• Knowledge of industry standards and protocol
• Able to understand the claims market agreements that exist within the various territories and how to access the specific knowledge
• Have had previous experience in managing and handling difficult coverage issues and be able to give examples
• Awareness of the litigation process through all courts.
• Knowledge of how to identify and engage with lead experts.
• High level awareness of injury types and the interpretation of medical evidence
• High level awareness of interdependencies with other Bryte Functions (Finance, Reinsurance, Marketing, Actuarial, Underwriting and Legal)
• High level awareness of market/industry issues
• Recognises relevance of customer proposition and how to interpret specific handling requirements
• Recognise the benefit of providing excellent customer service
• Be able to articulate how to prioritise and work to deadlines
• Desire to learn and be flexible to business change

Success Measures

• To work towards and deliver both personal and claims business objectives, in line with the Bryte Global Claims Scorecard:
• Financial Effectiveness
• Operational Efficiency
• Customer Satisfaction
• Compliance
• Personal Professional/technical competency and development
• Measured for adherence to customer protocol/service charter

Mobility

• Ability to travel within defined geography 0-40% (time in role)

Relationships

Internal

• To report to manager
• Engage and collaborate with other colleagues within the Claims Functions
• Engage and collaborate with other Functions such as Underwriting
• Engage, and inform internal customer stakeholders

External

• To engage, influence, negotiate and inform customers and third parties
• To engage, influence and collaborate with suppliers
• To engage, influence, collaborate and inform with our many brokers and intermediaries
• To engage with customers in accordance with specific claims handling protocol or customer proposition service charter
• To participate and facilitate in discussion with customers in matters concerning proposition development, retention opportunity and attendance at customer meetings
• To ensure that customers are kept informed on a case by case basis, transference of technical knowledge/guidance/education and on the wider aspect of attitude/cost of risk.

Compliance

Working at all times lawfully and in accordance with pre- defined regulatory compliance and financial requirements Working at all times in accordance with procedures, group/company policy, processes and controls e.g. the Internal Control Framework
Ability to recognise and understand appropriate legislative regulations specific to each territory covered within role

Additional Information

• This role is based at our Head Office (15 Marshall Street, Ferreirasdorp - Johannesburg).
• Within the context of Bryte Insurance Company South Africa Limited's Employment Equity Policy, all eligible candidates will be considered, however, preference will be given in the following order:
• The suitability of the candidate based on job-specific selection criteria of equally suitable candidates, the candidates from the designated group within the ambit of Bryte Insurance Company South Africa Limited's Employment Equity Policy.
• Your application will only be considered should you meet the minimum requirements of the vacancy.
• If you have not received a response within 14 days from the closing date, please consider your application unsuccessful.
• The company reserves the right not to fill this position.

Kindly review your application from time to time to monitor the status of your application