Job Description


JOB DESCRIPTION


Claims Processes

  • Deal with technically complex claims within their mandate.
  • Verify and validate all documents under the policy cover and approve or reject claims within delegated authority.
  • Exercise proper judgment and decision-making to analyse the claimed exposure, determine the proper course of action and appropriately finalise the claim.
  • Escalate complex claims to Line Manager.
  • Assist Junior Claims Controllers on technical claims.
  • Ensure workflow is managed properly on CMS system.
  • Daily (or as required by management) progress reporting.
Stakeholder Management (Agency/Broker & Service Provider Liaison)
  • Engage with brokers and Agent companies promptly as required.
  • Engage with Underwriting department on cover issues, inform them of gaps in cover and policy wording and provide them with any claims rela...

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