Claims Handler - Property
The purpose of the function is to attend to the adjustment and management of claims with the aim of minimising the losses due to the company and approving only those claims that we are truly liable. KEY TASKS & ACCOUNTABILITIESEffective processing of claimsPrioritise daily activities to enable processing and maintenance of all claimsMandate of minimum 1 million randCheck the accuracy of registered claims cover details and add claimant details timeouslyConfirm estimate is accurate, deducting excess to work out estimate of claim through investigating policy coverComplete fraud list and Identify claims that requires further fraud verificationEnsure computer generated letter is forwarded to relevant brokerLiaise with stakeholders to gather and ensure accuracy of informationIf required, inform other relevant departments within claims (e.g. recoveries, salvages, claims verification units etc)Capture diary entry immediately after registration process, describing progress and action of claimDeal with and ensure resolution of queries on an on-going basisObtain necessary documents/assessors report and make amendments to estimates ensuring authorization within policy coverContinually update and maintain diary systemDraw payment on relevant system, ensuring accuracy of banking details, invoice number, VAT numbers, class allocation, client release, etcEnsure letters are forwarded to brokers demonstrating breakdown of paymentsEnsure accurate codes are allocated to payment of claims to minimize leakageFinalize payments on WorkflowReview all open files on a quarterly basis by assessing check reports and claims not processed reportIf encounter system problems, log calls timeously with relevant departmentEffective customer focus and serviceLiaise with internal stakeholders to facilitate problem resolution and efficiency of work activitiesCommunicate with stakeholders on a daily basis to inform of progress of claims and claim policy and procedureDeal with and resolve any queries relevant to area; if unable to resolve, escalate to manager for resolutionRepresent the organization through maintaining high levels of professionalism, service excellence and customer excellence Adhere to internal policies, processes and proceduresEffective adherence to company claims policy, standards and SLAEnsure adherence to all company policies at all timesEnsure adherence to negotiated flexi hoursMaintain dress code, behaviour and absenteeismInternal Relationship: All Claims Departments, Sales and Underwriting. External Relationship:Brokers (Telephonically and Directly), Clients, All Claims Suppliers and Service Providers Co- Insurers (Telephonically and Directly)
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