We are looking on behalf of our client, a well established insurance company in Gibraltar, for a Claims Processing Support Assistant.
Duties:
- Review FNOL against policy schedules, register claims, and escalate unusual cases to management.
- Achieve assigned objectives and efficiently manage claims within allocated files, adhering to SLAs.
- Ensure claim entry accuracy and update reserves at each touchpoint.
- Handle a portfolio of recovery files, including debtor and creditor statement reconciliations.
- Process claims payments while maintaining accuracy in payment records.
- Follow the company’s Insurance Complaint Management procedures diligently.
- Identify potential recovery at the outset of claims and sending holding letters to identified negligent parties.
- Review of final claims submissions before recommendation for payment.
- Participate in monthly claims reviewing process.
- Support in the investigation of potential fraudulent claims.
- Liaising with Brokers and TIIs on claim related matters.
- Fulfil any additional responsibilities delegated by Senior Management or the Core team.
- Evaluation of claims as per the policy terms and conditions.
- Maintain and develop personal knowledge and skills through continued professional development.
- Assist Senior Management with claims audits.
- Handle a portfolio of recovery files.
- Liaise with other departmental heads as required.
The right candidate will:
- Demonstrate efficient handling of General Insurance Claims, from First Notification of Loss (FNOL) through to settlement.
- Adhere to the company’s Insurance Complaint Management process.
- Demonstrate a creative mind set and innovative skills with a strong sense of commitment to providing the highest client experience possible
- Be a confident team player who can fit into a multinational company environment.
- Demonstrate a readiness and engagement for continuous development and learning.
- Proactively follow up on claims, using the document management system
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