Claims Manager at Hollard Insurance

Role Objectives

• Full management of the operation of the claims department.
• Ensure all technical aspects and administrative functions for claims settlement are adhered to.
• Contribute to the growth and profitability of Hollard.
• Maintain the standards of the claims department thus enhancing the image of Hollard.

Key Responsibilities

• Technical expertise: To evaluate and investigate all claims received in order to prevent possible leakage to the company in the settlement of claims. Ensure the accurate and flawless assessment of claims
• Reporting: Provide necessary reporting on financial and operational indicators relating to claims, keep all records and registers up to date. Provide feedback (reporting) to senior management on achievements, pending issues, problems and suggested recommendations. Provide support to internal and external audit function.
• Operational Management: Management of all aspects relating to claims operations within the area Reserving, estimate management, third party recovery management, payment management, reinsurance recoveries. Set and monitor mandates.
• Decision making: To make recommendations and take decisions on technical or complex claims within mandates.
• Customer service: To ensure that customer service standards are maintained in accordance with service level agreements and to assist with technical advice and other assistance over and above the normal claims duties
• Effective Communication: Communicate effectively with external parties as well as within Hollard.
• Continuous Process Improvement: Ensure full compliance to all processes, policies and procedures and identify areas for improvement.
• Innovation: Participate with management in initiatives around product development, processes, policy and strategy.
• Policy and Procedures: Documentation, management, maintenance and communication of all policies and procedures pertaining to the division. Ad hoc auditing where required.
• Coaching and support: Providing informal and formal coaching support to team members.
• Risk Management: Ensure estimates reserved are correct and reviewed quarterly, report on large movements, ensure files are complete at settlement, and communication to underwriters is in place on reviewing policies post loss. Manage third party recovery management, payment management, reinsurance recoveries. Set and monitor adherence mandates.
• Variance Management: Adhere to standards set by Hollard. Ensure compliance to all tools including the meeting planner, provide action plans and follow up with corrective actions with all variances to standards.

Required Knowledge And Experience

10 years’ experience (Including managerial) with in-depth knowledge and understanding of Marine Insurance

• Product knowledge
• Underwriting procedure
• Rating principles
• Market knowledge (including competitors)
• SASRIA
• Claims procedure, credit control.
• Reinsurance market and reinsurance treaties
• Self-management Skills, Strategic thinker
• Business management skills
• Negotiation skills (internal and external)

Educational Requirements

• Minimum of 10 years insurance experience (Marine) including:
• Minimum of a BCom Degree or similar insurance qualification
• A Marine qualification would be highly advantageous.