Purpose of the role:
Perform claims management and handling tasks according to the various covers guarantees and services and the insurance line concerned which stem from insurance or noninsurance contracts in keeping with the rules conditions technical standards and guidelines of their superior with the aim of ensuring a correct and effective resolution of the claims files in terms of cost and time in line with the quality and service standards in place.
Key Deliverables:
Duties to include but are not limited to:
Process claims files according to their level and the guidelines and procedures in place at their unit making sure that the policyholders are provided with a high quality service thus reducing complaints.
Analyse incoming documents determine whether claims are covered or not based on the relevant insurance contract and in line with the covers contracted by the policyholder making a preliminary analysis of risks informing the policyholders and requesting if necessary additional information or documentation to properly handle claims.
Review the documents received at the department on a daily basis and answer calls from clients agents and injured parties to arrange the provision of services and inform on the claims files for which they are responsible in order to resolve the claims files while ensuring a high quality of service.
To provide the most appropriate and effective support for the resolution of claims and the detection of potential frauds that require a specific management.
Undertake according to their level the payment of the invoices received from providers and clients and where necessary claim payments from debtor companies and/or make offers to policyholders lawyers and companies and if required pay the amounts offered to ensure that claims are solved at the best time and cost for the unit or Group within their scope of responsibility.
Maintain uptodate specific and/or specialist knowledge about the technical procedures regulations criteria etc. within their remit by attending training sessions and monitoring the main management and quality assurance indicators
To undertake any other duty or responsibility that may reasonably be requested from the Head of Travel Services.
Critical Competencies:
Good command of operational processes
Communication Skills
Service Excellence
Experience/Technical Knowledge:
Technical knowledge of claims benefits and services
Management tools in the Area
Other significant Role Requirements:
Service level
Productivity
Reduction of Average cost
Attention to complains
Evaluation of subordinators
Targets to employees
Scope of Role:
Normal working hours Sunday to Thursday although some flexibility is required as the requirements/needs of the business change for example the ability to work under time pressure and at unsociable hours where necessary