Swiss Re

  • Gauteng
  • Swiss Re
Job Description:

  • Beware of scammers who pose as reprensentatives of genuine employers.

    The Swiss Re Group is a leading wholesale provider of reinsurance, insurance and other insurance-based forms of risk transfer. Dealing direct and working through brokers, its global client base consists of insurance companies, mid-to-large-sized corporations and public sector clients. From standard products to tailor-made coverage across all lines of busines...

    Senior Claims Manager

    Key Responsibilities:

    • Deliver the highest quality claim handling and customer service consistent with the Swiss Re Corporate Solutions (SRCS) Claim Commitment and Claim Handling Expectations (CHE).
    • Handle claims of varying severity within defined technical authority including, coverage review, fact investigation, loss evaluation, and designing and executing on an appropriate claim resolution strategy. Set and maintain appropriate and timely indemnity and expense reserves in accordance with Claims Handling Expectations and Guidelines.
    • Proactive diary management to drive claims toward a timely resolution.
    • Develop and implement appropriate strategy for fair claim resolution, to include settlement negotiation where needed.
    • Select, direct and manage external experts and vendors, including working with experts to set appropriate budgets and effectively manage costs. Select and manage outside attorneys, where needed, including working with attorneys to set appropriate resolution strategy and budget and proactively managing costs.
    • Regularly provide actionable claims insights and input to internal stakeholders, including underwriters, sales and risk engineering, and studies review and analysis relating to claims, emerging risks, legal, regulatory and societal developments and other industry topics.
    • Assist Underwriting and others with contractual wording and risk assessments associated with particular policies or risks.
    • Keep Claim Management and Internal Stakeholders aware of loss potential and material claim developments, consistent with the Claim Handling Expectations and Standard Operating Procedures.
    • Provide accurate information and data for Claims reporting. Comply with internal governance, legal and regulatory requirements.
    • Regular Claims and Insurance Industry training/education, including obtaining applicable insurance certifications/designations. Participate in regional and global projects as requested and required.

    About You

    • Educated to university degree-level or equivalent insurance or legal-based work experience (Professional insurance qualifications, or willingness to work towards achieving this).
    • Minimum 10 years Claims or Insurance Industry experience. Background working in the primary insurance market is preferred.
    • A desire to learn and develop as a person and as an insurance professional.
    • Curious, energetic, confident, collaborative, proactive, problem solver who is prepared to contribute towards all areas of the CorSo business.
    • Ability to work independently and as part of a team.
    • Strong coverage, investigation, loss evaluation and claim valuation skills. Strong negotiation skills with a desire to continue development of such skills.
    • Ability to engage and manage external experts, including proactive cost management.
    • Strong litigation and outside attorney management skills. Strong understanding of underwriting and other insurance functions.
    • Strong computer skills including proficiency in the use of MS Office (Word, Excel, Power Point), MS Outlook, and the use of Internet for research and investigation.
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