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Insurance

Technical Claims Specialist (Non-Motor)

Ref. JB-190

  • Malta
  • Permanent
  • €30,000 to 35,000 Per Year

Key Responsibilities

  • Review FNOL against relevant policy schedule, activates claims numbers in system and notifies management of unusual cases.
  • Handle Commercial, Public Liability, Employers’ Liability, Household and Marine claims
  • Establish and maintain accurate ultimate loss case reserves.
  • Reviewing claims submission and determining coverage issues.
  • Actively manages large losses to improve competitive margins.
  • Exercise robust cost control measures in line with delegated authorities and internal audit protocols.
  • Provide an effective resource for the execution of Claims Control / Cooperation Clauses when included on reinsurance business assumed by the Company.
  • Effective assessment of more complex cases and review of adjustors reports.
  • Preparation of claim FILE NOTES, LARGE LOSS NOTIFICATIONS etc.
  • Preparation of Discharge & Subrogation Forms on adjusted claims.
  • Analyse claims for coverage, causation, and valuation anomalies. Implements claim strategies for each line of business in collaboration with senior management and line underwriters.
  • Appoint external expertise loss adjusters, architects, engineers, layers on claims in consultation with claims manager.
  • Maintain accurate claims data in systems.
  • Identify potential recovery at the outset of claims and sending holding letters to identified negligent parties.
  • Review of final claims submissions before recommendation for payment.
  • In the event of claim, work with the Company’s reinsurers claims counterparts to assure good communication, documentation flow and a smooth recovery process.
  • Assist in policy wordings review based on claims experience.
  • Participate in monthly claims reviewing process.
  • Investigating further on potential fraudulent claims.
  • Liaising with Brokers and TIIs on claim related matters.
  • Preparing declinature letters on claims falling out of coverage in consultation with claims manager.

Key Accountabilities

  • Evaluation of claims as per the policy terms and conditions.
  • Maintain and develop personal knowledge and skills through continued professional development.
  • Ensure knowledge is up to date with local and international laws and regulations that effect the insurance claims environment and reporting such developments to the senior management.
  • Assist Senior Management with claims audits.
  • Quality assurance management.
  • Handle a portfolio of recovery files.
  • Liaise with other departmental heads as required.

Key Success Factors

  • Adhere to the company’s Complaint Management process.
  • Creative mind-set and innovative skills with a strong sense of commitment
  • Ability to demonstrate excellent communication and presentation skills
  • Be a confident team player who can “fit” in a multinational company environment.
  • Readiness and engagement for continuous development and learning
  • Efficient handling of General Insurance claims both personal and commercial lines.
  • Experienced in interacting with claims and document management systems
  • Ability to demonstrate analytical and conceptual skills and be proficient in all Microsoft Office applications.
  • Undertake any other task as may reasonably be required by the company, and where circumstances dictate, work more flexible/additional hours to support the claims proposition for our customers.
  • Individual performance objectives will be set on an annual basis.

Got a question about your application? Get in touch!

Montagu Pavilion, 8 – 10 Queensway, Gibraltar GX11 1AA
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+350 200 67931

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