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Snr. Claims Associate - Non-Motor

KingstonOn-siteFull-time

AI Summary

A Senior Claims Associate reviews non-motor claim adjuster reports, ensures accuracy, coordinates settlements and payments, communicates with reinsurers and brokers, and supports training and periodic claims reviews.

About this role

DIRECT RESPONSIBILITY:


  • Review Adjusters reports in conjunction with policies to ensure accuracy
  • Provide feedback to service providers/Brokers/Clients and make appropriate notes in 4D
  • Appoint service providers and liaise and discuss settlement with adjusters
  • Prepare settlement/payment for approval
  • Refer complex claims to claims supervisor, after placing appropriate notes
  • Notify Reinsurers of claims likely to exceed retention
  • Submit details to facultative reinsurers and follow up recoveries
  • Update co-insurers, re-insurers, brokers as deemed necessary
  • Being alert to irregular practices for fraud and money laundering
  • Work Closely with the Underwriting team, providing feedback on risks improvements and moral hazards etc
  • Ensuring accuracy of assigned claim files by thoroughly reviewing the data on 4Ds
  • Ensure timely updates to clients, provision of good customer service
  • Ensure adequacy of Reserves
  • Assist in the coordination of and participating in Periodic Claims Review
  • Assist with formal training of team members within the department
  • Prepare Claims Experiences for brokers/Internal Underwriters
  • Prepare fronting claims reports
  • Manage service providers payments
  • Any other duty assigned by the Claims Manager

QUALIFICATIONS/SKILLS/COMPETENCIES:


  • An undergraduate degree from a recognized tertiary institution and/or Insurance Diploma
  • At least Five (5) years’ experience in non-motor claims handling
  • Strong knowledge of the various types of non-motor policies
  • Good inter-personal/customer service skills, ability to deal with the public
  • Ability to negotiate a positive outcome for both company and client
  • Be an avid reader/Strong analytical skills
  • Above average IT familiarity and aptitude
  • Ability to function under pressure, able to multi-task
  • Attention to detail
  • Strong oral and written skills

Skills

4DClaims Experience ReportingClaims SettlementFacultative ReinsuranceFraud DetectionFronting Claims ReportingMoney Laundering MonitoringNon-motor PoliciesReserves AnalysisUnderwriting Feedback

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