Bryte Insurance Company Limited: Claims Handler








Company Bryte Insurance Company Limited
Reference # CHM
Published 22/09/2021
Contract Type Permanent
Salary Market Related
Location Johannesburg, Gauteng, South Africa
Introduction
The Marine Claims Specialist’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.
Job Functions Analysis,Client Services
Industries Insurance
Specification

Key Tasks & Accountabilities

Effective processing of claims
•Promptly handle marine 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

Requirements

Qualification

•Degree





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 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.

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 the role.

Job Closing Date 29/09/2021