Claims Executive - Willis Towers Watson
  • Other
descripción del trabajo

Description

Role description

  • Contribute to design of account specific instructions for claim handling
  • Basic training to ensure client understands claims process and any specific instructions
  • Post delivery internal review on lessons learned, colleague feedback and development
  • Attend client meetings supporting pre-placement and renewal planning
  • Facilitate claim event reporting with frequency and information required by clients or LOB
  • Prepare and run operational client meetings, regular client contact regarding on-going claims
  • Face-to-face meetings with clients when an incident occurs
  • Identify revenue opportunities
  • Track plan experience, resulting in loss ratio analysis
  • Analyze incurred & paid claims
  • Receive incident / event / enquiry
  • Register new claims / enquiry and document management
  • Verify validity of claim / event to policy (or policies) or plan coverage documentation and rules
  • Investigate claims
  • Assess coverage
  • Gather information on incidents / claims events needed for assessment
  • Advice on adjusters, lawyers or other experts
  • Receive lawsuits and court rulings
  • Advice on the procedural strategy and provide information throughout the entire judicial process
  • Follow-up claims with adjusters, lawyers and other experts
  • Notify / instruct carriers
  • Manage negotiation process from beginning to agreement settlement or resolution
  • Provide clear and timely information regarding claim to clients
  • Create and share relevant documentation with clients
  • Proactively help with obtaining prompt and fair settlement from carriers / clients
  • Update claims and document management
  • Provide SPOE (second pair of eyes) where requested
  • Ensure any Claim Service Level Agreement checks are completed

Qualifications

Requirements

  • Preferably Bachelor’s degree, or relevant industry experience
  • Knowledge of legislation that affects the brokerage activity (Example: GPDR, Insurance contract Law, Insurance brokerage law)
  • Knowledge or experience in some subject
  • Strong Spanish and English language communications skills required (written and spoken)
  • Advanced management in Microsoft Office

Attributes

  • Customer & Service oriented
  • High degree of analytical thinking, problem solver
  • Acting as quality gate, ensuring high service quality
  • Experience in building and maintaining relationships
  • Strong business sense, commercial
  • Good communication and networking skills
  • Ability to explain complex issues
  • Providing guidance, sparring and support to other team members
  • Innovative, creative and focused on details/delivery
  • Communicative, empathetic, good listener, organized, problem solver, manage ambiguity, ability to prioritize
  • Proactive, agile, results focused, team worker
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