Claims Advocacy Specialist at AON

About the Role 

As a Claims Advocacy Specialist some of your key responsibilities will include:

• Work with Claims Advocacy Manager to ensure high quality, efficient and compliant delivery of all claims servicing
• Attend to claims referred to the Claims Advocacy team
• Attend to rejections, disputes and contentious losses and provide support to the Claims Administration team on large losses above R 250 000. Appoint loss adjusters / assessors where mandated
• Negotiate settlement with suppliers, Insurers or any other parties involved within the set mandate on claims that entered the Claims Advocacy team. Ensures the client gets the best settlement in terms of the policy
• Prioritizes own work and works autonomously within defined boundaries
• Accurately capture claims settlement information on the Aon Global Claims Advocacy platforms
• Follow post-loss process requiring corrective underwriting
• Adhere to the minimum Quality and Service Standards
• Responsible for engaging in business development and/or contributing directly or indirectly to all business development efforts in Aon South Africa
• Providing guidance and advice to the Claims Administration teams, the Broking teams as well as clients on technical issues on claims and policies.

Role-specific Technical Skills, Knowledge and Experience

Qualifications

• Grade 12 (Matric)
• A relevant bachelor’s degree or;
• A relevant tertiary insurance related qualification
• Registration with the FSCA in terms of the FAIS Act
• Registration as an associate with the IISA.

Knowledge

• Technical/Professional knowledge of insurance principles practices and disciplines
• Have a working knowledge of risk analysis methodologies
• Have a good understanding of the applicable legislative environment governing the insurance industry.

Skills and Attributes

• Well-developed team management skills
• Developed team functioning skills
• Good interpersonal relationships
• Advanced analytical technical and problem-solving skills.

Experience

• A minimum of 5 – 10 years’ experience in a similar or related role
• A previous mandate to settle claims.