Casualty Claims Examiner

The primary purpose of this role is to produce a high-quality work product on a portfolio of low value claims through immediate contact and the effective investigation, reserving and adjustment of claims incurred by insureds or third parties.

Responsibilities not listed.

• Relevant Tertiary or Insurance Industry Qualifications
• Minimum of 2 years liability claims experience
• Broad knowledge of insurance industry and claims processes
• Written and verbal communication skills
• Workflow management skills
• Strong customer service focus
• Proven team player

• Manage a portfolio of liability claims in accordance with Chubb Best Practice Guidelines
• Analyse first report to determine nature of loss, coverage provided and scope of injury/damage
• Conduct investigations of all aspects of reported claims including potential fraud
• Secure and/or file all supporting documentation and verify same for accuracy, relationship and completeness
• Establish accurate and timely reserves
• Provide exceptional service standards in line with Chubb Best Practice Guidelines
• Maintain an active diary
• Monitor same to achieve timely development of the file and timely disposition of the claim
• Promptly and properly document all developments on claim file
• Exercise good judgement in reaching final disposition of claim by evaluating nature of loss, liability, injury/damage, coverage provided and applicable limits
• Effectively negotiate compromise settlements where appropriate
• Effectively communicate with the following: claim department, 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 Insurance Contracts Act, the Insurance Code of Practice and all other relevant statutory rules and regulations
• Adhere to Chubb’s legal, Regulatory and Internal compliance obligations
• Effectively control the use, work product and expense of outside vendors
• Any other duties as required by the Claims Manager

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