Claims Account Manager managing insurer clients in the Insurance Liability department. Overseeing claims, client relationships, and supporting company goals with effective file management.
Responsibilities
Ownership and maintenance of a portfolio of files
Early and effective liability assessment
Assessment and justification of reserves in line with authority levels
Employ proactive early intervention strategies to reduce claims cost
Develop a strategy for claim resolution
Prioritise tasks to oversee up to 180 - 200 claim files
Assessment of recovery prospects
Ownership and maintenance of Trust Accounts where appropriate
Manage client’s trust account including payment of legal invoices and settlements
Reconciliation of Trust Accounts
Keep Trust Accounts in the black
Maintain the client relationship to achieve superior results
Communicate effectively with claimants, clients, brokers, investigators, lawyers, insurers and medical practitioners via written and verbal means
Demonstrate effective negotiation and liaison techniques with clients, claimants, lawyers, brokers, insurers and service providers
Provide training, as required, to the insured to facilitate improved risk management
Report to and update relevant stakeholders regarding claims as required
Facilitate regular and structured contact with clients
Competent use of systems and processes in claim management
Effective use of Figtree, Organise It, and Outlook
Understand and adhere to Proclaim processes and procedures
Understand insurance policy review, application and policy coverage
Supporting the achievement of company goals and vision
Effective file and claim management to support Proclaim in meeting objectives and targets (budget, new business and existing business)
Account retention and development of new business
Utilise marketing and networking opportunities
Support other team members as required
Requirements
Bachelors Degree in Law
Accuracy, attention to detail and quality
Time management and demonstrated ability to prioritise and multi-task
Effective Negotiation and advocacy ability
Strong verbal and written communication including sound telephone manner
Computer skills – Usage of internal systems
Drafting documents, letter writing and typing ability
Ability to run and interpret reports
Solid analytical and dispute resolution ability
Relationship building
Presentation skills
Broad understanding of the Insurance industry
Understanding of the Insurance Contracts Act
Understanding of the Insurance Code of Practice and Privacy Code
Understanding the role of brokers and industry stakeholders
Understanding of Law/Tort/Contracts and State Jurisdictions
Interpretation of policy/clauses/exclusions
Solid understanding of the client structure, fee structure and invoice process
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