Job Summary
With moderate direction, handles single and multi-party personal or commercial line claims of moderate exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.

Job Accountabilities - Key Accountabilities

• Document claims file by accurately capturing and updating claims data/information.
• To determine liability by gathering and analyzing relevant factsAnalyse and determine policy coverage.
• Work to have a timely resolution to claims by developing case strategy, developing a case evaluation, escalating issues as appropriate.
• Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits.
• Assess damages & negotiate settlement of claim by establishing an appropriate negotiation strategy.
• Meet quality standards by following best practices.
• Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols.
• Aligned to the organization’s Claims Vendor Management strategy.
• Ensure legal compliance by following laws and regulations and internal control requirements.
• Refer claim to subrogation and fraud teams.
• Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
• Understand the current with industry trends and establish personal networks and participate in professional societies.
• Manage litigation by assigning counsel within the approved panel where applicable.

Please refer the Job description for details