Claims Negotiator

Claims Negotiator Job Description Template

Our company is looking for a Claims Negotiator to join our team.

Responsibilities:

  • Negotiate best settlements;
  • Attend to Third party claims in terms of the Plant and Contractors Third Party Liability cover;
  • Appointment of investigators, assessors, loss adjusters and other experts if necessary;
  • Registering claims with the reinsurers/co insurers companies;
  • Sound knowledge of claims principles in industry including Claims management (will be trained);
  • Assess the claims internally;
  • Monitor and periodically review estimates;
  • Controlling of registers, compliance with SLA’s, diary management, quantum, recoveries, salvage and secure proper claims maintenance;
  • Actively manage and oversee start to end of claims;
  • Third Party recoveries;
  • Signing off third-party releases;
  • Facultative reinsurance & co-insurance recoveries;
  • Processing payments on system;
  • Daily diary files to be extracted and dealt with e.g. letters of demand, final notices reminders and follow up assessors’ reports;
  • Ensure all technical aspects for claims settlement are adhered to.

Requirements:

  • Understand applicable legislation;
  • Must do Regulatory Representatives exam;
  • Negotiating claims on merit and quantum;
  • Decision making for discussion with management;
  • Drafting legally correct correspondence & documents;
  • Innovation;
  • Understanding policy wording/documents (and consulting on intention where necessary);
  • Prepared to study towards a full FAIS/insurance qualification;
  • Construction industry / Contractual claims & Engineering insurance industry knowledge is an advantage;
  • Customer Service;
  • Risk Management;
  • Good verbal and written communication;
  • Ability to analyse a set of circumstances and assemble a comprehensive timeline;
  • Admitted attorney;
  • Quality control of claims documents.