We are seeking Loss Adjusters to investigate, inspect and analyse insurance claims to validate and adjust payments. This role includes conducting full lifecycle analysis of claims and physical site visits.
Main duties include:
- Manages assigned claims while meeting company standards and quality, including conducting thorough investigations, determining coverage and validity of claims, interviewing and communicating with insured, claimants and witnesses.
- Makes coverage determinations based on investigation/evaluation and communicates claim actions with claimant and client.
- Works directly with underwriter/client on high value and complex cases.
- Ensure claim files are properly documented to meet quality and production goals and to meet customer guidelines and deadlines.
- Review/ interpret insurance policies and other reports to determine insurance coverage. • Consults police/ hospital records, and inspects damage to determine extent of company's liability and varying methods of investigation according to type of insurance.
- Addresses salvage and subrogation as required by the client.
- Prepares report of findings and negotiates settlement with client.
- Revises case reserves in assigned claims files to cover probable costs.
- Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. Ensure claim details are updated into the claims operating system on time and accurately.
Requirements:
- Diploma/Degree
- Excellent communications, both oral and written in English
- Good report writing skills
- Good interpersonal skills and leadership ability
- Self-motivated and the ability to motivate others
- An organised disciplined approach to work
- Time management skills
- Solid IT skills