Claims Advocate

2 weeks ago


Johannesburg, Gauteng, South Africa Marsh Full time

Claims Advocate - Risk Management Practice, Africa:

What can you expect?


Ensure prompt, efficient and effective claims support and project management for strategic clients, also giving technical support to all branches on claims.


The Claims Advocate will be working closely with Marsh Clients, Marsh Claims Operations, Claims Solutions and the local CE/broking organization.

The primary objective of this role is to provide effective claims support and claims project management for key clients in general daily business engagement as well as post a significant or complex loss.


What is in it for you?

  • An international wellestablished company with a strong brand and strong results to match
  • Opportunity to make the difference and to work on both local and regional projects
  • Attractive benefits coverage, outstanding learning and mentoring programs, and internal mobility opportunities
  • Stable employment and hybrid working model (3 compulsory days onsite)

We will count on you to:
Claims advocacy and project management

  • Provide certain key clients with explanations preloss on what to expect when a major loss happens
  • Early client engagement once claims are notified to Marsh;
  • Triage new claims (complex / large / contentious) and provide initial and ongoing guidance to clients on the process to come; manage expectations from the outset;
  • Identify all potential policies and coverages/ layers of cover;
  • Provide expert advice to clients/colleagues on policy interpretation and policy coverage consideration
  • A detailed analysis of the policy, identifying potential coverage issues and assisting in drafting a strategy, with agreed milestones, if appropriate in collaboration with client;
  • Devise strategies to project manage identified complex / large claims and give guidance to other parts of the team (Claims Operations, Claims Solutions, CE /SRO?). Work as part of the claims teams to manage project delivery from cradle to grave;
  • Assist clients in strategically running their claims;
  • Develop relationships with insurance carriers, loss adjusters and lawyers to ensure the Marsh Claims brand is well positioned in the market
  • Ensuring efficient and effective claims project management and optimal result by reviewing information provided by insured, provision of documentation and negotiations with relevant stakeholders (including but not limited to insurers, adjusters, attorneys, experts)
  • Assisting in the resolution of any disputes that may arise with insurers
  • Provision of relevant technical advice to aid sound underwriting
  • Responding to enquiries from clients, Insurers/Loss Adjusters/Solicitors and other involved parties
  • Support effective negotiations with Insurers/Loss Adjusters in an effort to obtain, where appropriate, the maximum benefit granted by the cover for the client
  • Attend meetings with clients, insurers or third parties as required
  • Assist in identifying growth opportunities in collaboration with Client Executives
  • Engage with Claims Solutions and/or other specialist claims resources in IMEA and assist with developing fee proposals and presenting same to client for specific Advocacy services
  • Preloss training and product specific training to clients/stakeholders
  • Identify high risk claims and ensure effective involvement by Marsh office
Audit and Review

  • Compliance with internal claims professional standard
  • Identify and report any potential Professional Indemnity exposures to Management.
  • Developing and maintaining audit programme to ensure compliance and adherence to correct company procedure.
  • Contribute to and participate in the group audit program
Administration & People Management

  • Liaising and coordinating with other internal units on various issues to ensure attainment of organisational goals.
  • Coaching and counselling subordinates/other colleagues
  • Providing constructive feedback to enhance performance.
  • Providing leadership.
  • Structured performance management and staff appraisal.
  • Internal training and development

What you need to have:

  • Experience of claim handling for 15+ years and ability to participate/lead discussions with various stakeholders on claims consulting matters
  • Have a desire and comfort level to seek out claims consulting opportunities and be part of the Marsh agenda of monetizing claims where possible or appropriate
  • Good understanding of the Middle East/MENA claims process and market procedures
  • Educated to a degree standard and/or professionally qualified (progress towards professional qualification will be considered). Chartered Loss Adjuster preferred.
  • Ability to take ownership and provide meaningful inputs in claim consulting matters
  • Good interpersonal and communication skills
  • Organisational skills and the ability to project manage claims and tasks
  • Understanding of client service requirements and the ability to deliver value
  • Ability to work collegiately and develop strong internal stakeholder relations

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