Claims Manager

Role Purpose

The purpose of the Claims Role is to effectively manage the claims process for clients, ensuring a smooth and fair settlement of claims. The role involves reviewing and validating claims, liaising with insurers, advocating for clients interests, and guiding them through the claims process to achieve a satisfactory outcome.

Key Expectations of the Role

1. Claims Processing and Documentation:

Accurately review and process claims in adherence to established protocols and guidelines.

Ensure all necessary documentation is collected and maintained for each claim, including client statements, accident reports, and relevant records.

2. Client Advocacy and Communication:

Act as the main point of contact for clients during the claims process, providing timely updates and information.

Advocate for clients interests and rights, ensuring a fair and just settlement of claims.

3. Settlement or Compromised Settlement:

Engage in substantiating the claim to the insurers to secure optimal claim settlements for clients. Ensure that settlements are fair and appropriate, considering policy terms, legal requirements, and clients expectations.

4. Conflict Resolution and Customer Service:

Address client concerns, disputes, and inquiries related to claims in a professional and timely manner.

Facilitate conflict resolution and maintain positive client relationships throughout the claims process