
Claims Examiner - Third Party
- Johannesburg, Gauteng
- Permanent
- Full-time
receipt.
Register and validate third party only claims.
Assess and confirm merits of the claims.
Request quantum/ outstanding documents from the third party if applicable.
Decide if claim is payable based on documentation provided.
Appoint assessor based on claim specification.
Provide updates to third party and insured/broker.
Review assessment and draft offer for third party
Negotiate fair offer with third party.
Send offer and facilitate settlement of signed offer.
Close files once settled.
Record savings on spreadsheet
Maintain relationship with assessors, other insurers and broker/insureds.
(Litigation)
Receive Summons and acknowledge receipt.
Verify legitimacy of claim
Review summons and decide on action.
Appoint attorney based on summon’ s specification.
Provide attorney with instruction and documents.
Follow up with attorney.
Guide attorney on acceptable offer and parameters of negotiating.
Settle attorney fees based on acceptable fee scale.
Negotiate with attorneys on fees based on settlements.
Maintain relationship with attorneys and investigators.Skills
- Negotiation Skills
- Conflict resolution skills
- Math Skills
- Good Communication Skills
- Interpersonal Skills