Manage a portfolio of property claims to conclusion, ensuring compliance with service level agreements and meeting key performance indicators.
Maintaining expected case load of property claims.
- Examining claims forms, policies and endorsements, client instructions and other records to determine coverage.
- Investigating claims by conducting office-based analysis of physical damage details, interviewing claimants, and comparing claim information with evidence.
- Providing support and advice to policy holders with respect to their claims
- Preparing first reports by collecting and summarising information required.
- Where possible settling claims after determining liability, client’s instructions, and authority levels.
- Type client reports in an accurate and timely manner.
- Adhere to insurer client Service Level Agreements and processes.
- Update Claims Management System as required.
- Effectively deal with service/product replacement providers.
- Comply with and maintain Service Level Agreements and Key Performance Indicators.
- Maintaining company reputation and insurance product integrity by complying with federal and state regulations and service standards.
- Process daily outgoing mail in a timely manner.
- Archive files and retrieve archived files on request.
- Maintaining professional and technical knowledge through continuing education.
- Providing assistance to other offices in the event of a Catastrophe, as required.
Experience in management of General Insurance Claims
- Insurance Contracts Act/FSRA legislation awareness
- Excellent communication skills
- High level literacy & adequate numeracy skills
- Certificate IV in Loss Adjusting or General Insurance related desirable