Senior Claims Negotiator

3 weeks ago

Cape Town, Saudi Arabia Shoprite Group of Companies Full time

Job Objectives

  • Ensure accurate registration of new claims.
  • Authorise Claims within Mandate allocated.
  • Correspond with brokers, assessors, Attorneys, Insurers etc.
  • Adhere to company SLAs.
  • Attend to all queries related to claims. 
  • Maintain correct correspondence: hard copies & e-mail.
  • Coordinate the team within claims and the company.
  • Verify and analyse data used in settling claims to ensure that claims are valid and that settlements are made according to company practices, policy wording and procedures and pro-active managing of claim.
  • Validate claims and premiums, appoint assessors and authorise or reject claims according to Policy Wording.
  • Process payment of claim, finalizing claim, estimate reviews and ensure diary management.
  • Conduct Ad Hoc Claims projects on instruction from Management.
  • Be accountable for the end-to-end finalisation of the claim.
  • At times. assume responsibility to manage the process and resolve any conflict by negotiation, settlement and finalization.
  • Maintain a high degree of professionalism when engaging with clients. 

Qualifications

  • Relevant Bachelor’s degree would be essential B.Proc /B.A Law/ L.L.B/ not excluding other 
  • Insurance Institute Exams will be to the candidate’s advantage 

Experience

  • Minimum 5 Years Insurance Claims Experience 
  • RE5 Qualification advantage 

Knowledge and Skills

  • Computer Literacy: Microsoft Office 365- proficiency in Word, Excel, PowerPoint and Microsoft Outlook

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