Main Responsibilities:

• Providing advice on making a claim and the processes involved;
• Processing new insurance claims notifications;
• Collecting accurate information and documents to proceed with a claim;
• Analysing a claim made by a policymaker;
• Guiding policyholders on how to proceed with the claim;
• Monitoring the progress of a claim;
• Investigating potentially fraudulent claims;
• Identifying reasons why full payment may not be made;
• Ensuring fair settlement of a valid claim;
• Building relationships with loss adjusters, forensic accountants and solicitors, as well as other legal/claims professionals;
• Ensuring the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines;
• Handling any complaints associated with a claim;
• Involvement in loss adjusting activities and in legal discussions relating to settlement;
• Seeking legal recovery of monies paid out;
• Adhering to legal requirements, industry regulations and customer quality standards set by the company.