Claims Manager 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

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