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Claims Negotiator
4 weeks ago
Key Responsibilities:
- Claims Negotiation: Take ownership of complex and high-value claims, utilizing your negotiation skills to settle claims in a manner that balances the interests of both the insurer and the policyholder.
- Client and Stakeholder Engagement: Act as the primary point of contact for claimants, brokers, and third parties, ensuring all parties are informed and that their concerns are addressed throughout the claims process.
- Liability Assessment: Conduct thorough investigations to assess the validity of claims, determine liability, and evaluate the potential impact on the business.
- Policy Analysis: Review and interpret insurance policies to confirm coverage, exclusions, and conditions that affect claim outcomes.
- Dispute Resolution: Address and resolve disputes related to claim settlements, leveraging your negotiation and conflict resolution skills to reach amicable solutions.
- Documentation and Reporting: Maintain accurate and detailed records of all claim negotiations and decisions. Prepare comprehensive reports on claim trends, outcomes, and areas for improvement to inform future underwriting strategies.
- Compliance: Ensure all claims are processed in accordance with company policies, industry regulations, and legal requirements, maintaining the highest level of compliance and ethical standards.
- Continuous Improvement: Provide feedback and insights to improve claims handling processes and contribute to the development of best practices within the team.
- Minimum 3 years of experience in claims administration/ negotiation in the short-term industry
- Completed NQF4 Level 4 Accreditation in Short Term Insurance (Non Negotiable)
- Class of Business : Domestic & Commercial Lines Non-Negotiable
- FAIS Compliant
- Proficient in Microsoft Office and other relevant software.