
Claims Executive
3 days ago
**Job Summary**:
**Role & Responsibility**:
- Update claims file by accurately capturing and updating claims data/information in compliance with best practices for A&H and Marine commercial claim assignments reflecting the highest degree of technical complexity and exposure.
- Use judgment to determine indemnity exposure by gathering and analyzing relevant facts, utilizing applicable law and establishing basic principles of insurance.
- Use judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage.
- Ensure a timely resolution to claims by developing case strategy, developing a case evaluation and escalating issues as appropriate.
- Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims
- Assess damages by calculating applicable damages or range of damages allowed by law.
- Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits.
- Ensure customer service by proactively communicating information, responding to inquiries following customer service protocols.
- Manage litigation by assigning counsel within the approved panel where applicable, establishing litigation plan and budget, coordinating defense lawyer activities, continuously reviewing the potential for settlement with claimant, reviewing litigation expenses and authorizing payments.
- Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors.
- Depart from approved vendors with manager approval, where in the best interests of the insured.
- Ensure legal compliance by following state and federal laws and regulations and internal control requirements.
**Business Accountabilities**:
- Collect, analyze and document complex data in established systems from multiple sources to make informed, authoritative technical/professional decisions and recommendations in order to accurately assess the value of claims and also contribute to the improvement of business performance in the medium and longer term.
- Diagnose and provide high quality, expert technical advice and solutions that enable a customer to solve complex business and customer problems.
- Complete an in depth diagnosis of customer needs, issues and business drivers and recommend process and system improvement to enhance customer service.
- Develop, propose and, where appropriate, lead the implementation of technical initiatives to improve processes, develop policies and generate innovation consulting with leaders and executives to improve business effectiveness and support a customer centric claims service.
- Develop processes and review policies relevant to functional/business specialism in order to ensure they are in line with strategic business objectives.
- Establish relationships with colleagues across multiple functions to be able to keep them informed of relevant issues based on individual's claims specialism, providing advice to help develop claims policies.
**Skills and Experience**:
- Degree holder in any discipline, or diploma holder with insurance qualification e.g. BCP, ComGI, PGI,HI
- Good knowledge of insurance product and service, especially in claims space, and 2 years+ working experience in insurance industry
- Fast learner and up-to-date with new technology and skills especially to drive process analysis
- Good knowledge of software development processes and methods
- Knowledge of machine learning is preferred
- Familiar with agile development cycle and UAT process
- High energy, self-motivation and ability to thrive in a fast-paced working environment with a customer focused attitude
- Good analytical mind and able to work with mínimal supervision
- Team player who is able to support other high performing team members and contribute to the successful culture
- Proficient in spoken and written English is necessary
**You are the heart & soul of Zurich**
At Zurich, we like to think outside the box and challenge the status quo. We take an optimistic approach by focusing on the positives and constantly asking What can go right?
Let’s continue to grow together
- Location(s): Singapore
- Remote working: Hybrid Working Module
- Schedule: Full Time
- Recruiter name: Ahona Adhikary
- Closing date:
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