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Specialist - Claims Service
Location:
ZA-Cape Town
Jobcode:
2224412
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Receives new, often low to moderate-complexity claims, acknowledges receipt (to brokers and insureds). Assesses coverage and communicates same to brokers and insureds.

Determines claim liabilities, value, and service provider fees and sets reserves, with low to moderate financial authority, according to Company and legal standards.

Appoints and directs appropriate service partner to defend insured and quantify liability and damages.

Assesses financial exposure of insured and sets reserves accordingly. Obtains reserving, settlement and payment authority in accordance with authority level.

Notifies insurers when a file exceeds specific criteria set by each insurer (such as cost, claim type, or complexity) to keep insurers briefed on what Claims may be of high concern to them.

Develops final reports summarizing lifecycle of a claim and instructs support staff to close the file.

Marsh & McLennan

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