Job Description PURPOSE OF THE JOB: Effective handling, mediation and verification of claims registered. DUTIES AND RESPONSIBILITIES OF THE JOB: Capture relevant claim information in format requested by the insurer(s) for monthly reporting purposes to relevant stakeholder. Provide ad hoc reports as requested by insurers from time to time. Ensure knowledge of current processes and that processes are followed as instructed. Ensure knowledge and usage of current filing systems. Ensure validity of system(s) information captured data. Distribute received claims Identify fast track claims and distribute as per current process Request authorization regarding late notifications Verification of registered claims ? Insured peril / Peril codes ? Premiums received ? Estimates/Excesses/Limit of cover ? Relevant/necessary documents received Take action on claim: ? Appoint an assessor ? Give authorization for replacement/repairs ? Determine the value of loss ? Send agreement of loss mail/document for signature of insured to broker/assistant Repudiations: ? Ensure correct reasons are used when issuing repudiations letters ? Send repudiation letter to insurer for approval and sign off ? Send repudiation letter to broker/assistant and insured Payments: ? Ensure correctness of invoices received ? Request payments ? Diarize for approval and proof of payment ? Send proof of payment to broker/assistant/service providers Handling of problematic claims ? Escalate to relevant manager (when necessary) ? Handling of complaints and escalate to relevant manager when necessary ? Identify policies where remedial action should be implemented ? Handling of ex-gratia payments in collaboration with relevant manager Escalate possible PI claims to relevant manager