Description:
Global leader urgently seeks to appoint a highly skilled and qualified Claims Relationship Manager. We are looking for an individual with demonstrated experience in either Marine or Mining Claims (or both).Duties and Responsibilities:
Portfolio Management
Articulate the claims capabilities and operational proposition to clients and identify improvement opportunities. Management of client portfolio - this includes all policies across marine and mining Outstanding Claims - Do weekly outstanding claims monitoring to ensure claims are up to date and progress is made. Advance matters that are dormant or not progressing Reports
Report mapping - ensure that all Client mapping in the Data Warehouse is accurate to include all claims across different client portfolios on different systems Report set ups - agree type of reports as well as frequency of reports with the Client and ensure that scheduling is done correctly from the Data Warehouse Aggregates
Aggregate management - monitor aggregate fund balances to ensure that the aggregates do not burn Aggregate arrangements - agree specific aggregate processes with the client and implement accordingly (e.g. excess payments / claims within excess etc.) Aggregate audits - notify Insurers when an aggregate reaches 80% to arrange for audits to be conducted. The sign-off of these audits must be done as quickly as possible to avoid any delays on claims that falls outside the Aggregate after it is depleted. Claims Management Agreements - collect information and prepare the Claims Management Agreement via the Docusign Process Fund Management
Ensure that funds are requested by Client Manager, deposited and that there are enough funds in the bank accounts for payments Closing Bank Accounts Client Support
Set up and attend client meetings as per the client's required frequency Build client relationships through regular interaction with clients Identify specific process needs and ensure implementation New Business and Renewal
Assists with new business presentations (Powerpoint / Mock up Dashboards / Solutions etc.) Attend new business presentations and present the Claims capabilities to the prospective clients Assists with renewal presentations (Powerpoint / Dashboards / Solutions etc.) Claims Advocacy
Assist with disputes and advise regarding:
Rejections Complaints Large and contentious losses Minimum Requirements:
Qualifications
Grade 12. (Matric) A relevant bachelors degree or A relevant tertiary insurance related
05 Mar 2025;
from:
gumtree.co.za