NAGICO St. Lucia Ltd is a dynamic, financially strong, and innovative insurance provider and is currently seeking applications from suitably qualified and experienced individuals to fill the post of CLAIMS CLERK (GENERAL INSURANCE).
SUMMARY:
The Claims Clerk is responsible for providing exceptional customer service, efficiently managing claims administration, and performing loss adjusting duties. This role ensures the fair and timely settlement of claims, adherence to legal and industry standards, and effective communication with all stakeholders.
KEY DUTIES AND RESPONSIBILITIES
Handle Claim Notifications: Promptly receive and log claim notifications, ensuring all necessary information is captured accurately.
Collect Documentation: Gather and verify required documentation such as police reports, medical records, and repair estimates to support the claims process.
Enter Claim Information: Accurately input claim details into the system, maintaining up-to-date records.
Review Policy Contracts: Examine policy contracts to determine coverage, identify exclusions, and ensure compliance with policy conditions.
Update Claimants: Regularly communicate with claimants to provide updates on the status of their claims and expected timelines.
Resolve Inquiries: Address and resolve customer inquiries and concerns promptly, ensuring a high level of customer satisfaction.
Liaise with Agents and External Partners: Coordinate with agents, brokers, and external partners to gather necessary information and facilitate the resolution of claims.
Maintain Claim Files: Keep organized and up-to-date claim files, ensuring all correspondence and documentation are properly filed.
Prepare Correspondence: Draft and send correspondence related to claims, including settlement offers, service agreement forms, offer letters, and release documents within authority limits.
Ensure Compliance: Ensure all claim-related activities comply with legal requirements, industry regulations, and company policies.
Obtain Estimates: Assist in obtaining initial estimates for repairs or replacements and conduct cost comparisons as necessary.
Visit Accident Scenes: Visit accident or incident scenes to gather information and assess damage.
Inspect Vehicles:Inspect vehicles and parts at service providers, garages, and wrecker yards to verify damage and repair needs.
Liaise with Law Enforcement:Communicate with law enforcement regarding reports, stolen vehicles, and related matters.
Generate Reports:Produce regular reports on claim statuses and activities for management review.
Adjust Claim Reserves:Monitor and adjust claim reserves as necessary to reflect the current status of claims.
Ensure Compliance:Ensure all activities comply with industry regulations and company standards.
Assist in Audits:Support audits and reviews of claim files and processes to ensure accuracy and compliance.
QUALIFICATIONS, SKILLS & EXPERIENCE
A tertiary qualification in business administration or other related field
At least 2 years experience in general claims administration
Certification in General Claims management or a related discipline from a recognized institution.
Knowledge and experience in General Insurance Underwriting.
Knowledge and experience as an Insurance Claims Adjuster is a plus.
Highly developed analytical and problem-solving skills to ensure accuracy in the information and advice provided.
Must exhibit strong communication and interpersonal skills with the ability to effectively communicate and work collaboratively with people at all professional levels, specialties, and roles.
Must show good planning, time management, and organizational skills, paying keen attention to detail, sound report writing skills, and ability to focus for long periods.
Discernment and the ability to assess a situation objectively.
Works independently and takes initiative.
Motivated and disciplined, empathetic, diplomatic and fair.
Must be flexible, logical, perceptive, creative, organized, analytical, and sound decision making / problem solving skills, and able to work well under pressure;
Strong knowledge of Microsoft office and computer skills.
COMPENSATION
Remuneration will be commensurate with qualifications, experience, and competence.
This position is based at our main office in NAGICO Building, Reduit, Gros Islet, Castries, St. Lucia.Application Procedure:
If you’re detail-oriented, customer-focused, eager to learn, and self-driven, we’d love to hear from you! Please send your application, resume, two professional references, and certified qualification copies.
Please submit via email only and the subject must be stated as “Application for the position of Claims Clerk (General Insurance)”