"An ounce of practice is worth more than tons of preaching." - a quote by Mahatma Gandhi 


AEGIS CLAIMS EXECUTIVE - JOB DESCRIPTION
(Report to Team Leader, Account Manager, Management)
DESCRIPTION
The Claims Executive will coordinate and undertake research on claims and legal trends impacting all insurance lines, and deliver a consistent, positive customer service experience. The candidate will support the teams in claims administration, client advocacy and other short and long-term projects that will involve claims, technical research, preparation and writing of reports. The role will have significant written and verbal contact with clients, markets, and internal teams, and will proactively engage with all parties, internal & external, to obtain necessary correspondence and information leading ultimately to quick and equitable resolution of insurance claims for our valued Clients.

The Claims Executive will learn the fundamentals of insurance and will be expected to have or obtain a Certificate of Insurance (Cert. CII) geared towards Claims subjects.

KEY RESPONSIBILITIES:
  • Receives and responds to routine client’s inquiries, maintains documentation of communications, existing issues, and issue resolutions, referring complex inquiries to more senior staff
  • Prepares written correspondence and makes telephone calls to insurer claim representatives and clients and loss adjusters, loss assessors and other third parties
  • Responsible for claim reporting to Team Leader, Account Manager, Management
  • Enter data into Vtiger management system, audit for accuracy and completeness, and follow up with clients and insurers and keep/ progress up to date
  • Maintains claims, data records
  • Generates materials for client and prospect presentations and meetings insofar as relates to claims, analytics
  • Performs other responsibilities and duties as needed

JOB COMPETENCIES:
  • Monitoring claims & information: setting up ongoing procedures to collect and review, follow up information needed to manage claims as well as ongoing activities
  • Managing work: effectively managing, consider resources to ensure that work is completed efficiently
  • Service expectations: meeting and exceeding (internal or external) customer expectations while cultivating relationships that secure commitment and trust
  • Trust (External & Internal): Gaining others’ confidence by acting with integrity and following through on commitments, treating others and their ideas with respect and supporting them in overcoming challenges
  • Collaborating: Working cooperatively with all parties concerned, assist teams to support Clients to claims settlement resolution
  • Decision Making: Identifying and understanding problems and opportunities by gathering, analyzing, and interpreting quantitative and qualitative information; choosing the best course of action by establishing clear decision criteria, generating and evaluating alternatives, and making timely decisions; taking action that is consistent with available facts and constraints and optimizes probable consequences

    Following above, make recommendations on claims strategy for individual claims and where unsure refer to Team Leader, Account Manager, Management.

CULTURAL COMPETENCIES:
  • We Live Service! Providing the best solutions for our clients is fundamental to our business. This client focus means we act with integrity and as a trusted advisor and client consultant. We always put our clients’ interests first
  • We are responsive to clients, our teams and our partners, insurers and all others. This means get it done right the first time with efficiency, speed, and most importantly quality
  • We are a “can do” attitude Team! There is no bureaucracy. We are open to solving problems in new ways. We make responsible professional decisions. We value independence, freedom of thoughts, we appreciate democratic new ideas, and informed logic based opinions
  • We have a passion for our work. We have high expectations for ourselves and others. We are intensely competitive, and aggressively pursue the best solutions. We are intentional in how we work, solve challenges. We thrive on difficult challenges
  • Personal Service. Our relationships matter. We are in this together with our clients, our teams. One team, where we are frank & direct and straightforward interactions allow for proactive collaboration. We work through challenges, celebrate our successes, learn and grow together

KNOWLEDGE AND EXPERIENCE:
  • Polytechnic or University Degree
  • Fluency at written & spoken English language required
  • Previous insurance experience would be an advantage
  • Previous Client, Customer service experience would be an advantage

Please send your resume and cover letter to Human Resource Manager at enquiry@aegisrs.com for further advice!