Claims Specialist

Key Responsibilities

• Actively reviewing, improving and developing claim management solutions, processes and strategies when required.
• Actively reviewing and improving claim handing guidelines, including criteria for claim review.
• Actively establishing local/ regional networks with loss adjusters, lawyers.... to get up-to-date loss information and to support claim audit and verification.  
• Verifying covered losses (Facultative and Treaty) by studying insurance policy and/or reinsurance contract coverage (in consultation or liaison with underwriter/ Group Legal Services when necessary). 
• Establish proof of loss by studying documentation and assembling additional information from outside sources.
• Verifying claim recoveries and salvages when relevant.
• Supporting loss reserve (single and event loss) process when required.
• Conducting claim audit when required, which including but not limiting to:
  • Interviewing with Claims and Reinsurance/ Finance Team of business partner;
  • Assessing Claim handling and reserving process of business partner;
  • Engaging local experts (loss adjusters/ lawyers…) when required;
  • Negotiating claim settlement where relevant;
• Actively communicating with underwriter and other services departments about claim development and claim decision according to Claim handling guidelines.
• Actively using claim handling experience and claim data to support underwriting and pricing process.
• Register claim, maintain claim files and document claim file activities in accordance with established procedures and to ensure information confidentiality.
• Prepare claim reports to Branch management, Compliance and Hannover Office according to Claim handling guideline. 
• Approving or denying or referring claims according to Claim handing guidelines and authority.
• Ensure legal compliance, including Sanction and Data protection regulations, by following company policies, procedures, and guidelines.
• Maintain quality client service by understanding client‘s practices and responding to client‘s inquiries.
• Provide legal support by assembling documentation for settlement action.
• Assist or prepare files for lawsuit, trial, subrogation, or commutation.
• Collaborating with Technical accounting professionals as a reference contact regarding claims.
• Engage actively in ad hoc projects, including automation projects rolled out by Hannover (Germany) Office.
• Develop and recommend areas for enhancements and improvements for the current systems and processes to meet the challenges and needs of claims process.

Job Requirements

• A university degree or master's in relevant field such as (re)insurance, business, finance or law. 
• Good command of English (written and spoken)
• Minimum of 8 years of experience in the insurance or reinsurance industry
• Having experience working with loss adjusters is an asset. 
• Extensive knowledge of (re)insurance claim process
• Extensive knowledge of insurance-related policies and legislation
• Excellent conflict resolution skills
• Strong communication and interpersonal skills
• Proficient with Microsoft Office Suite
• Analytical and problem solving skill
• Attention to detail and accuracy 
• Organisational and time management skills
• Ability to manage a team 
• Ability to be a team player with result oriented, problem solving skills and willing to complete/ assist in tasks that sometimes fall outside of  the job description