Claims Specialist

2 weeks ago

Cape Town, Western Cape, South Africa Exclusively Remote Full time
Claims Specialist Real Estate (Commercial Lines Insurance)
The Claims Specialist will manage and process insurance claims related to real estate properties. This role requires a keen eye for detail, excellent communication skills, and a thorough understanding of real estate insurance policies. The Claims Specialist will ensure claims are handled efficiently and fairly, maintaining high standards of customer service and compliance.

Key Responsibilities:

  1. Claims Processing:
    • Receive and review claim reports.
    • Assess the validity of claims and determine coverage based on policy details.
    • Process claims efficiently to ensure timely resolution.
  2. Investigation:
    • Conduct thorough investigations to assess the extent of damage or loss to insured properties.
    • Collaborate with adjusters, inspectors, and other relevant parties to gather accurate information.
  3. Policy Analysis:
    • Deeply understand real estate insurance policies, including coverage limits, exclusions, and conditions.
    • Analyze policy language to determine coverage for various claims.
  4. Communication:
    • Maintain clear and effective communication with policyholders, agents, adjusters, legal professionals, and other stakeholders.
    • Keep all parties informed about the progress of claims and address any concerns or questions promptly.
  5. Documentation and Record-Keeping:
    • Accurately document claim details, correspondence, investigation reports, settlements, and other relevant information.
    • Maintain up-to-date records in the agency management system.
  6. Compliance and Regulations:
    • Ensure all claims are handled in compliance with insurance laws, regulations, and company policies.
    • Stay updated on industry standards and legal requirements.
  7. Customer Service:
    • Provide empathetic and responsive support to policyholders during the claims process.
    • Guide clients through the steps and address their concerns with professionalism.
  8. Fraud Detection:
    • Be vigilant for signs of fraudulent activity.
    • Conduct thorough investigations and collaborate with specialized fraud investigation units when necessary.

Qualifications:

  • Proven experience in insurance claims processing, preferably within the real estate sector.
  • Strong understanding of real estate insurance policies and coverage.
  • Excellent investigative and analytical skills.
  • Exceptional communication and customer service abilities.
  • Proficiency in maintaining detailed records and documentation.
  • Knowledge of insurance laws, regulations, and industry standards.
  • Ability to detect and address potential fraud.

Key Attributes:

  • Detail-oriented and highly organized.
  • Empathetic and customer-focused.
  • Strong problem-solving skills.
  • Ability to work collaboratively with various stakeholders.
  • Committed to upholding compliance and regulatory standards.

Work Environment:

  • Based at Fidella Insurance Agency with potential for some remote work.
  • Collaborative team setting with opportunities for professional growth.

Application Process: To apply, please submit your resume and a cover letter detailing your relevant experience and why you are a suitable candidate for this role.

Requirements:

  • Own laptop
  • Backup Power
  • Fiber
  • To work remote hours 3pm -11pm SA Time

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