Claims Resolution Specialist

Function Purpose

The Claims Function in our insurance broking company is designed to facilitate the efficient and accurate processing of insurance claims. This function aims to ensure timely resolution of claims, maintain client satisfaction, and uphold the credibility of the organization by adhering to ethical and legal standards.

Role Purpose

The purpose of the Claims Role is to effectively manage the claims process for clients, ensuring a smooth and fair settlement of claims. The role involves reviewing and validating claims, liaising with insurers, advocating for clients' interests, and guiding them through the claims process to achieve a satisfactory outcome.

Key Expectations of the Role

Claims Processing and Documentation :

• Accurately review and process claims in adherence to established protocols and guidelines.
• Ensure all necessary documentation is collected and maintained for each claim, including client statements, accident reports, and relevant records.

Client Advocacy and Communication :

Settlement or Compromised Settlement :

Conflict Resolution and Customer Service :

Competencies Required for the Role

Insurance Knowledge :

Communication and Interpersonal Skills :

Analytical Thinking and Problem-Solving :

Negotiation and Persuasion :

Interpersonal Skills : Strong interpersonal skills, including the ability to empathize with clients, manage client expectations, and effectively communicate during the claims process.

Personal Qualifications