The Claims Examiner is responsible for processing claims documents, managing First Notice of Loss (FNOL) and new claim file creation, verifying policy coverage, setting and maintaining loss reserves, reviewing and triaging claim files, managing claims end-to-end including settlements, preparing correspondences with brokers and claimants, attending to enquiries, applying claims policies particularly regarding fraud and complaints, participating in administrative activities, reporting fraud and compliance breaches, and proposing process improvements. The role requires good analytical skills, strong attention to detail, excellent communication and interpersonal skills, organizational abilities, quality claims administration, knowledge of claims procedures and systems, and strong customer service behavior. Candidates should be tertiary qualified or have 2-3 years of similar experience, preferably in claims insurance.
