
Specialist: Claims Technical Advice
- Johannesburg, Gauteng
- Permanent
- Full-time
- Providing technical advice on matters of interpretation of insurance policy wordings to claims management and different stakeholders within the organisation.
- Perform as subject matter expert in applying principles of insurance law, law delict, contract, evidence and interpretation of statutes in claims handling.
- Facilitate claims knowledge transfer through workshops and publication of short-term insurance claims communications.
- Promote uniformity of policy interpretation which will contribute to faster indemnification processes and fair treatment of customers.
- Liaise with underwriting and training concerning ambiguities and shortcomings in policy wordings as input to promote development and or product wording changes.
- Legal qualification (LLB or equivalent)
- Insurance related qualification (COP; ICIBS; HCII)
- 3 years or more in operational environment (claims or technical underwriting)
- Excellent knowledge of claims processes
- Solid knowledge of Insurance products (Personal and Commercial etc.)
- Product knowledge (Commercial and Personal lines)
- Strong relationship building skills
- Strong industry acumen
- Analytical skills
- Negotiation skills
- Ability to pay attention to detail