Senior Claims Specialist

10 hours ago


Johannesburg, South Africa HR CAPITAL RECRUITMENT PTY Ltd Full time

**CLAIMS SPECIALIST - MARINE AND ENGINEERING** required for a well-established insurance company based on the East Rand to validate and process short-term insurance claims following a fortuitous event. In accordance with Standard Operating Procedure, claims guidelines, the specialist’s own mandate, and the client’s policy schedule, the Claims Specialist will make settlement determinations on complex and high value claims that relate to special risk classes such Marine, Engineering and Construction

**Minimum Requirements**:

- Matric Certificate - essential
- Regulatory Exam
- Bachelor’s degree in relate field (or studying towards)
- Applicable Class of Business certification
- Additional Insurance certifications would be an advantage
- Must be compliant with FAIS Fit and Proper requirements with track-record of working unsupervised
- Computer literate - Microsoft Word, Excel, and Outlook
- Experience working on TIAL - highly advantageous
- Formal training in Marine and Engineering Insurance
- At least 3-5 years relevant work experience in claims validations and settlement in the field of
- Marine and Engineering Insurance
- Work experience within a licensed insurer, or Underwriting Manager (UMA).
- Sound technical knowledge and understanding of relevant short term insurance policy wording

**Duties and Responsibilities**:

- Validation of claims in line with Company guidelines and Standard Operating Procedures
- Appointment of necessary providers
- Authorizations\Settlement of claims
- Rejection of claims
- Processing payments within the turn-around time
- Payment confirmations to Brokers and Suppliers
- Relationship Management with allocated brokers, including training of brokers with binder and
- outsource agreements
- Complaints handling and resolution
- Liaising with Service Providers
- Liaising with brokers and clients
- Liaising with attorneys



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