Posted on: 23 July 2024
ID 919805

Claims Specialist

Are you an experienced Claims Specialist with a passion for Life products? Are clients' needs always your priority? Then we are looking for a claims professional like you!

About The Role

You will get a chance to effectively manage our claim liability through implementing appropriate client and claims management / risk management strategies.

You will work closely with Client Markets and Underwriting to provide outstanding service to our Clients and collaborate with Actuarial Team for Claims Data analysis and interpretation with appropriate feedback to future Product development and Pricing as well as suggest appropriate interventions to improve the portfolio experience.
  • Adjudication of Life Insurance claims across all product lines and provide expert opinions on complex case referrals.
  • Conduct Claims Reviews within an internal framework.
  • Provide advice on local and international best practices in claims management.
  • Develop training materials and presentations in line with client requirements and emerging topics.
  • Support the Business Unit in tendering for new business and product development.
  • Participate in ad-hoc and ongoing Local and Global Claims projects as required.
  • Work collaboratively with cross-functional teams.
  • Establish and maintain excellent client relationships and respond to their changing needs.
About You

We are looking for someone with strong interpersonal, negotiation, and relationship-building skills. The ideal candidate should have excellent verbal and written communication, presentation, and analytical skills, and be proficient in problem-solving, decision-making, and multi-tasking. Additionally, they should possess the ability to examine and validate data to understand reasons and trends behind the numbers, and effectively communicate decisions to clients. The ability to prioritize tasks, demonstrate flexibility, and adopt new ways of working is essential. Experience in team collaboration and building cross-functional working relationships is also highly valued.

We Are Happy To Welcome You In Our Team
  • Bachelor's degree in the health-related field, insurance field or allied health professional along with a minimum of 5-10 years' experience in direct insurer or reinsurer claims management.
  • Experience of delivering excellent training and quality presentations to a professional audience.
  • Advanced knowledge of Microsoft office skills including Outlook, Word, Excel, and PowerPoint.
Preference will be given to Employment Equity candidates.

About Swiss Re

Swiss Re is one of the worlds leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14, 000 employees across the world.

Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.

Keywords

Reference Code: 130555

Occupation:
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