Overview
Senior Claims Adjuster Jobs in Johannesburg Metropolitan Area at Africa Specialty Risks
Title: Senior Claims Adjuster
Company: Africa Specialty Risks
Location: Johannesburg Metropolitan Area
Who We Are:
Africa Specialty Risks Ltd (ASR) is a specialty insurer and reinsurer focusing primarily on underwriting risks located in Africa and the Middle East, across all lines of business. The business operates as a Managing General Agent sourcing world leading capacity for African insurance and reinsurance risks. ASR also has a Lloyd’s Syndicate and operates as an approved Lloyd’s cover holder. With offices in London, Mauritius, Casablanca, Dubai and South Africa, ASR combines a unique knowledge of Africa, coupled with a team with the skills and experience required to excel at what we do.
Role Purpose:
The role involves actively participating in the day-to-day operations of the Claims Department, taking responsibility for handling the portfolio of (property/liability) claims assigned to you, ensuring that claims are accurately reviewed, reserved and settled on a timely, equitable and commercial basis. The role requires an ability to draft succinct written reports on individual matters, whilst also providing regular verbal updates at meetings on the performance of material losses within the (property/liability) portfolio of the claims function. Reporting to the Head of Claims, you will evaluate, investigate, handle and manage a portfolio of large & complex (property/liability) (re)insurance claims across multiple lines of business.
Role Responsibilities:
- Support the Head of Claims in building out a claims function capable of delivering an African-centric claims service, utilising strong technical knowledge to ensure a first-class claims service is provided to our (re)insureds.
- Building, developing, and maintaining close working relationships – both internally (Underwriting, Operations, Finance, Actuarial) and externally (clients, brokers, capacity providers), ensuring a consistently high standard of service is maintained.
- Maintaining ownership of allocated portfolio of claims, setting up and handling each case from first notification of loss though to settlement, ensuring relevant parties are kept informed as necessary.
- Maintaining key claims strategy and flowlines on significant claims, working with the Head of Claims, underwriters and actuarial teams as necessary.
- Ensure all claims are adjusted in accordance with the ASR’s Claims Philosophy and Claims Handling Guidelines.
- Adhering to your personal authority limits and referring for authorisation above those where necessary, ensuring any matters that may be contentious are appropriately flagged and escalated to senior management as necessary.
- Ensure claims records and files are complete, accurate and appropriate, whilst also maintaining an active and efficient diary system.
- Assist with internal & external reporting (inc. ad hoc updates) and support the timely/efficient production of monthly claims bordereaux to our Capacity Providers.
- Managing, and promptly resolving, external and internal claims queries.
- Assist in the development of a Key Service Provider panel to ensure ASR utilises the most appropriate external service partners, such as Loss Adjusters and Legal advisors.
- Maintain active oversight of external service providers as appropriate.
- To undertake continuing professional development as appropriate to ensure technical knowledge is maintained and updated.
- An ability to continually look to improve process to gain operational efficiencies wherever possible, ensuring the Claims function operates at an optimal level whilst ensuring that the necessary control environment operates in an effective manner.
- To contribute to the production of management reporting as necessary.
- Undertake other ad- hoc tasks as determined by the Head of Claims in support of the overall development of the Claims Function and the broader business goals of ASR
- To mentor and provide guidance to less experienced members of the Claims Team, managing referrals on claims above their authority as appropriate.
Skills & Experience:
Essential:
- Strong technical claims experience across key lines of business underwritten within the ASR group.
- Strong communication, both written and oral, alongside good negotiation skills.
- Ability to analyse appropriate wordings to determine applicable coverage and policy response to claims being presented.
- Methodical and accurate approach to work with good problem-solving skills.
- Detail-oriented with a strong commitment to accuracy and integrity
- Self-motivated whilst being a team player (both within Claims function & the wider ASR group).
- Good time management.
- Ability to work under pressure and prioritise work accordingly.
- Work collaboratively and establish trusted relationships.
- Ability to actively consider and support broad business goals across ASR.
- Proactively identifies and attempts to resolve issues.
Desirable:
- CII or Legal qualification or progression towards same.
- Strong IT skills – particularly MS Excel & claims software systems.
- Be multi-lingual, with French or Arabic knowledge.
- Knowledge of the African and MENA region insurance markets
- Experience of working within a Lloyd’s/London Market Claims Operation including use of ECF/IMR
- Experience of working within an MGA/Coverholder claims unit
- Experience of both direct and reinsurance claims handling
- Adaptability and willingness to participate in new projects that support the aims of the claim function within ASR group
- Flexibility to develop knowledge across multiple product lines