CLAIMS ANALYST – Eve Anderson Recruitment Guyana Inc.

Description

1. Job Function
   The Claims Analyst/Administrator is responsible for processing insurance claims according to company’s guidelines and customer service standards. The analyst provides supervision to the motor and non-motor portfolio to ensure the management and timely settlement of valid claims within levels of authority and in accordance with company practices and procedures. All activities must conform to organizational guidelines and standards and to all legal, statutory, regulatory and treaty requirements.

Requirements

4. Qualifications and Experience
   • Minimum 5 CXC passes including English and Mathematics.
   • Two (2) A. levels.
   • Bachelor’s Degree from a recognized institution is desirable
   • Diploma Claims Administration or pursuing the ACII/Certificate Courses or its equivalent.
   • At least four (4) year experience in Claims OR an Equivalent combination of experience and qualification
   5. Knowledge, Skills and Abilities
   • Working knowledge of all classes of general insurance including Reinsurance
   • Possess a thorough understanding of all policies, methods and procedures.
   • Possess excellent customer service skills. This include responding to customer needs, quality standards for services and evaluation of customer satisfaction.
   • Strong computer skills /Proficiency in Microsoft suit
   • Knowledge of laws governing the Insurance Industry, civil proceedings regulations, opinions/precedents affecting the insurance industry.

Responsibilities

2. Principal Duties and Responsibilities Service
   
   1. Handles Claims portfolio for all assigned Brokers through the delivery of exceptional claims service synonymous with “Premier”.
   
   2. Advise and guide customers through the entire Claims Process and through the preparation of all claims.
   
   3. Register and process new claims, subsequently imputing claims related information into the computer system/SOLIS, ensuring that data is accurate and concise yet sufficient for file documentation.
   
   4. Develop and maintain strong customer relationships with assigned Brokers through scheduled calls/visits/meetings.
   
   5. Assist in general administration and processing of transactions relating to the operational aspects of the company.
   
   
   System/Reports
   
   6. Ensure the optimization of Technology/SOLIS to obtain operational efficiency.
   
   7. Analyze Claims data/information and provide standard as well as ad hoc reports to the General Manager, to assist in portfolio management and any other requested information.
   
   8. Assign non-motor adjusters for assessment of losses, review submitted reports and provide settlement instructions to adjuster or review final report and submit with recommendation to Manager/Team Lead for further instruction.
   
   Operations
   
   9. Liaise with Co-Insurers for claims documentation on risk shared.
   
   10. Conduct In-House adjustment of small losses for Policyholders/Insureds in accordance with the terms and conditions of the respective Policy.
   
   11. Prepare Computation Sheets and Claims Payment Vouchers for the settlement of Insureds’ claims.
   
   12. Adjust reserves within limits of authority or ensure adjustment by superiors in accordance with authority limits.
   
   13. Provide updates to Clients and Brokers through an established follow up system.
   
   14. Provide recommendation to the General Manager regarding undesirable risks and/or risks improvement recommendation by an Adjuster.
   
   15. Reports complaints and irregularities to management.
   
   16. Refer all Subrogation/Facultative Reinsurance recovery to assigned claims officer/Team-Lead/Claims Manager for handling
   
   17. Support the development and maintenance of a team environment by performing other related duties.
   
   18. Adhere to Anti-Money laundering guidelines.
   
   19. Submit articles and information from searches to Attorneys for review and approval for use.
   
   20. Apply for Registration of Vehicles at the License Office for the claim files.
   
   21. Attend to the Registries of the Supreme Court to file, register or cancel documents
   3. Personal Attributes
   • Sound Judgment
   • Detail oriented
   • Customer oriented
   • Strong Communicator
   • Problem-Solving
   • Teamwork
   • Strong Negotiator
   • Analytical
   • Time-Management

Remuneration/Benefits

A gross salary of $300,000