Job Description
Full job descriptionWhat will you do? Claims PortfolioAttend to all aspects related to a portfolio of claims e.g. new claims, current files, diary, mail, recoveries, Agg Tracker management, third party claims, attorney/investigator matters, settlement within mandate etc.Negotiate settlement agreements within mandateDraft settlement agreementsStrategically manage a portfolio of claimsAppoint and manage loss adjusters and attorneys where warrantedMonitor and adhere to service levels in accordance with agreed service level agreementsMonitor legal loss adjuster fee expenditure and refer concerns to management within the framework of agreed internal protocol
Responsibilities + Skills
Administrative SkillsAnalysis and JudgementAttention to DetailClient OrientationCommunication Skills including negotiation
Education
MatricFAIS compliance (within the required period if not a registered Rep)Medical Qualification (if possible)
Experience
Minimum 6 months A&H claims handling experience a preferenceAnalysis of medical accounts and medical claims handling a preferenceAssessing medical reports and understanding medical terminology
