As an Insurance Claims clerk, you'll be involved in managing a claim from the start through to settlement, making decisions on the extent and validity of a claim, and checking for any potential fraudulent activity.
You'll work on complex cases which require experience and expert knowledge. At this stage, you will hand over file or files to the investigator (investigating the loss) or in legal discussions about the recovery of money from the party responsible for the loss.
Diploma in or certificate in Management
2-3 years experience in claims department
Good interpersonal skills
Five (5) Csec subjects inclusive of Maths and English
Provide advice on making a claim and the processes involved
Process new insurance claims notifications
Collect accurate information and documents to proceed with a claim
Analyze a claim made by a policyholder to establish whether it satisfies the policy conditions
Guide policyholders on how to proceed with the claim
Identify reasons why full payment may not be made
Explain to policyholders when their claim is not covered
Monitor the progress of a claim
Investigate potentially fraudulent claims
Liaise with legal and claims professionals, and negotiate the terms of a claim
Prepare an initial estimate of costs and then closely monitor and keep a record of costs
Get advice from external specialists, such as loss adjusters on complex cases
Ensure fair settlement of a valid claim
Ensure the customer is treated fairly and that the customer receives excellent service in accordance with company guidelines
Handle any complaints associated with a claim-Refer complains to Ombudsman Ms. Alancia Scott
Adhere to legal requirements, regulations and customer quality standards set by the company.
Manage Motor, Bond, Fire and Marine claim records and have appropriate filing and bookkeeping (Claim Register)
Set up reserves and forward information to accounts department
Calculate amount of claim and review policy to determine coverage
Seek legal recovery of monies paid out
Any other related duties that maybe assigned to you from time to time
Caricom General Insurance Company, Inc. has been providing innovative and technical solutions to problems of risk and financial management since its formation in 1997. Our hard working team has the expertise and professionalism to provide superior service through competitive pricing and development of our products and services to satisfy our clients’ needs.
Today our product line includes flexible and specifically tailored security instruments for general, motor, fire, specialty insurance policies such as bonds, financial guarantees and a lot more. We provide value-added solutions through highly structured products facilitated by specialized underwriting expertise and characterized by reliable, prompt and efficient customer service.
With our headquarters located at Ruimzeight on the West Coast of Demerara and nine branch offices nationwide, our employees enjoy a family-like working environment – learning, sharing, growing and helping each other to achieve greater heights.
Over the past 20 years, the company has consistently delivered on its service and financial performance, meeting or even surpassing customer and shareholder expectations. Supported by highly rated Reinsurance Companies of international repute, our annualized growth has been sustained by the company’s product diversification and strategic investment programs.