
Low Value Claim Specialist
5 days ago
Claim Handler Role
The primary goal of this position is to produce high-quality work results on a portfolio of low-value claims through immediate contact and effective investigation, reserving, and adjustment of claims incurred by insureds or third parties.
Key Responsibilities:
- Manage liability claims in accordance with industry best practices.
- Analyse first reports to determine the nature of loss, coverage provided, and scope of injury/damage.
- Conduct thorough investigations of all aspects of reported claims, including potential fraud. Secure and/or file all supporting documentation and verify its accuracy, relevance, and completeness.
- Establish accurate and timely reserves.
- Provide exceptional service standards in line with industry guidelines
- Maintain an active diary to achieve timely development of the file and timely disposition of the claim.
- Promptly and properly document all developments on the claim file.
- Exercise good judgment in reaching final disposition of the claim by evaluating the nature of loss, liability, injury/damage, coverage provided, and applicable limits.
- Effectively negotiate compromise settlements where appropriate.
- Effectively communicate with various stakeholders, including claim department personnel, customer services, loss control, underwriting departments, finance departments, brokers, insureds, service providers, third parties, and/or their legal representatives.
- Recognise and pursue subrogation where applicable.
- Adhere to relevant statutory rules and regulations.
- Adhere to internal compliance obligations.
- Effectively manage the use, work product, and expense of outside vendors.
- Perform other duties as required by the Claims Manager.
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