Claims Examiner Personal Accident

Job description

Job Summary To perform the following activities in processing specialty claims: Claims Processing & Assessment Claims Settlement Claims Recovery Claims Services Functional business analyst Key Responsibilities Obtain necessary claims documents from insured, solicitors, underwriters, agents, brokers, etc. Appoint independent adjusters for investigations, solicitors for summon cases & medical specialists. Confirm coverage and assess claims based on documents / reports that support claims, i.e. medical, police report, adjuster report etc. Offer settlement to insured. Handle complaints from local authorities, insured & agents. Conduct negotiation & attend court when necessary for selected contested cases. Prepare repudiation letter for cases where the Policy Liability is not apparent. Take action to recover claims by way of subrogation. Attend to claims query from customer, agents, brokers, branches and claims hub. Provide claims input in product development Identifying processes which can be automated and perform enhancement in Merimen /OPUS. Requirements Able to work independently and as a team player. Good communication and writting skills. Ability to leverage AI tools like ChatGPT to simplify tasks at work Willing to learn and interested in handling and process in Claims.