Engineering Claims Specialist - JHB at Bryte Insurance Company Limited

Description

The Engineering Claims Specialist 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 that supports Bryte Basics.

Requirements

Key Tasks & Accountabilities

• Promptly handle engineering claims and take 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 and recovery indicators.
• Reviews, resolves and proactively finalises claims within authority limits ensuring settlement at an optimum level.
• 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 and fulfil the needs and expectations of our customers

Qualifications & Experience

• Degree
• 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 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

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.