Job Summary
With moderate direction, handles single and multi-party personal or commercial line claims of moderate exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.
Job Accountabilities - Key Accountabilities
- Evaluating, processing, and settling motor insurance claims related to damage sustained by the insured vehicle.
- Document claims file by accurately capturing and updating claims data/information.
- Determine liability by gathering and analyzing relevant facts.
- Analyse and determine policy coverage.
- Work to have a timely resolution to claims by developing case strategy, developing a case evaluation; escalating issues as appropriate.
- Establish timely reserves and perform ongoing review throughout the claims cycle within authority limits.
- Assess damages.
- Negotiate settlement of claim by establishing an appropriate negotiation strategy.
- Meet quality standards by following best practices.
- Ensure customer service by proactively communicating information, responding to inquiries, following customer protocols aligned to the organization's Claims Vendor Management strategy.
- Ensure legal compliance by following laws and regulations and internal control requirements.
- Refer claim to subrogation and fraud teams.
- Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed.
- Protect Zurich's reputation by keeping claims information confidential.
- Understand the current with industry trends and establish personal networks and participate in professional societies.
- Manage litigation by assigning counsel within the approved panel where applicable.
