Senior Claims Specialist

1 week ago

Johannesburg, Gauteng, South Africa Swiss RE Full time

About the Role:


This is a high-level Claims position based in Johannesburg, South Africa, responsible for the professional handling of a broad portfolio of general property, engineering, mining & casualty / financial lines claims, underwritten in both the retail and international wholesale markets.


You will be equally comfortable acting as Lead or as a Coinsurer, and capable of technical coverage evaluation and exposure analysis and influencing a market to reach the desired outcome.

Our objective is proactive investigation and evaluation, fair resolution, and the delivery of exceptional customer service in line with the Corporate Solutions Claims Commitment.


The position reports into the Head of UK Claims, London, with a dotted reporting line into the South Africa branch leadership.


Key Responsibilities:

  • Deliver the highest quality claim handling and customer service consistent with the Swiss Re Corporate Solutions (SRCS) Claim Commitment and Claim Handling Expectations (CHE).
  • Handle claims of varying severity within defined technical authority including, coverage review, fact investigation, loss evaluation, and designing and executing on an appropriate claim resolution strategy. Set and maintain appropriate and timely indemnity and expense reserves in accordance with Claims Handling Expectations and Guidelines.
  • Proactive diary management to drive claims toward a timely resolution.
  • Develop and implement appropriate strategy for fair claim resolution, to include settlement negotiation where needed.
  • Select, direct and manage external experts and vendors, including working with experts to set appropriate budgets and effectively manage costs. Select and manage outside attorneys, where needed, including working with attorneys to set appropriate resolution strategy and budget and proactively managing costs.
  • Regularly provide actionable claims insights and input to internal stakeholders, including underwriters, sales and risk engineering, and studies review and analysis relating to claims, emerging risks, legal, regulatory and societal developments and other industry topics.
  • Assist Underwriting and others with contractual wording and risk assessments associated with particular policies or risks.
  • Keep Claim Management and Internal Stakeholders aware of loss potential and material claim developments, consistent with the Claim Handling Expectations and Standard Operating Procedures.
  • Provide accurate information and data for Claims' reporting. Comply with internal governance, legal and regulatory requirements.
  • Regular Claims and Insurance Industry training/education, including obtaining applicable insurance certifications/designations. Participate in regional and global projects as requested and required.

About the Team:


The claims team is based in London, Zurich, Genoa & South Africa, and comprises 18 claims professionals of different backgrounds, disciplines and languages, handling losses in the wholesale and retail markets across all the main lines of business.

We believe that the way in which claims are managed, through the delivery of our Corporate Solutions Claims Commitment, can be a key differentiator and enables us to provide a unique and de-commoditised service to our customers

Put simply:
we want exemplary claims service to be the reason customers buy insurance from Swiss Re Corporate Solutions.

About You:

  • Educated to university degreelevel or equivalent insurance or legalbased work experience (Professional insurance qualifications, or willingness to work towards achieving this).
  • Deep & relevant Claims or Insurance Industry experience. Background working in the primary insurance market is preferred. Corporate claims experience strongly preferred.
  • A desire to learn and develop as a person and as an insurance professional.
  • Curious, energetic, confident, collaborative, proactive, problem solver who is prepared to contribute towards all areas of the CorSo business.
  • Ability to work independently and as part of a team.
  • Strong coverage, investigation, loss evaluation and claim valuation skills. Strong negotiation skills with a desire to continue development of such skills.
  • Ability to engage and manage external experts, including proactive cost management.
  • Strong litigation and outside attorney management skills. Strong understanding of underwriting and other insurance functions.
  • Strong computer skills including proficiency in the use of MS Office (Word, Excel, Power Point), MS Outlook, and the use of Internet for research and investigation.

About Swiss Re Corporate Solutions
Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer. We anticipate and manage risks, from natural catastrophes and climate change to cybercrime.

Swiss Re Corporate Solutions is the commercial insurance arm of the Swiss Re Group. We offer innovative insurance solutions to large and midsized multinational

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