Claims Specialist

Western Cape, Full Time Deadline: Not specified

The Role

This position reports to the Claims Manager for the Life Health Claims Team. The Claims Specialist will be responsible for the delivery of Gen Re’s claims proposition in South Africa and sub-Saharan Africa. This includes, but is not limited to, the assessment of reinsurance liability, training development and delivery, audit activities as well as representing the company by way of presentations and seminars at various Gen Re and industry meetings and conferences as requested.

The Claims Management team exists to assist in the Company’s management of profitable reinsurance business. It does this by:

Making correct claims decisions including which claims are valid ’ which are not valid and which claims can be rehabilitated.
Undertaking focused research, which will generate competitive advantage through superior understanding of risk.
Creating an image of the company as a thought leader through client meetings, articles, and presentations.
Monitoring client claims management practices and ensuring they remain rigorous.

The role entails:

Assess and administer claims from a variety of product lines, including Life, Critical Illness and Disability Claims according to the Gen Re Claims philosophy and standards
Provide Claims support to the new treaty quotation process
Support the marketing of Gen Re Claims service and expertise
Develop and implement the Gen Re Claims training programme
Participate in client audits, evaluating procedures and suggesting potential improvements
Build on the existing relationships of the Gen Re Claims Team’s Internal and External Clients
Conduct research and remain up to date with latest claims trends across the globe
Produce articles and presentations for Gen Re publications and events
Maintain Industry involvement through membership of relevant industry committees

Experience ’ Qualifications

We are looking for top applicants that have a University Degree in Occupational Therapy, Physiotherapy, or any other appropriate Allied Health profession and/or relevant work experience. Applicants need to have at least 5 10 years working experience assessing claims in a life insurance or reinsurance environment.

Requirements

Excellent oral and written communication skills
Ability to produce quality work in a timely manner
Ability to work both independently, and in a team environment
Strong analytical skills
Ability to work in challenging situations with an ability to multi-task, be flexible, adaptable and a self-starter
Strong attention to details
Highly developed interpersonal skills
Ability to remain calm under pressure
Solid software skills
Fluent English, a second language would be advantageous

Closing Date
21 August 2023