The primary purpose of this role is to produce a high quality work product on intermediate to complex claims through immediate contact and the effective investigation, reserving and adjustment of claims incurred by insureds or third parties
About the role:
- Analyse first report to determine nature of loss, coverage provided and scope of injury/damage
- Conduct investigations of all aspects of reported claims
- Promptly and properly document all developments on claim workstation file
- Effectively communicate with the following: Claim Department, Customer Services, Loss Control, Underwriting Departments, brokers insureds, counsel, third parties and/or their legal representatives
- Effectively present cases at claims committee
- Tertiary qualified, law degree preferred
- Demonstrated effective Investigation techniques
- Written and verbal communication related to claims handling
- Knowledgeable of Insurance contracts
- Understanding of legal requirements, regulations, and litigation procedures