Assistant Claims Officer - Non Motor Claims & Legal Dept.
Al wathba National Insurance co
Total years of experience :15 years, 5 Months
Dealing all sorts of daily routine matters pertaining to Claims & legal Department like registering, analyzing and settling Claims, both Direct & Inward (Engineering, Marine, Fire & General Accident Classes).
• Providing advice on making a claim and the processes involved.
• Processing new insurance claims notifications.
• Collecting accurate information and documents to proceed with a claim.
• Guiding policyholders on how to proceed with the claim.
• Negotiated highly complex settlement packages, and authorized payment within scope of authority.
• Exchanging correspondence with Clients, Insurance & Reinsurance Companies.
• Appointment of Surveyors & coordination.
• Monitoring the progress of a claim.
• Investigating potentially fraudulent claims.
• Deny claims where applicable.
• Building relationships with loss adjusters and other legal/claims professionals.
• Ensuring the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines.
• Involvement in loss adjusting activities and in legal discussions relating to settlement.
• Taking responsibility for productivity and profit.
• Adhering to legal requirements, industry regulations and customer quality standards set by the company.
• Ensure claims are settled in accordance with policy and company guidelines.
• Claims reported statement.
• Prepare statistical reports like the Loss Ratio report, monthly production and Claims.
• Claims auditing subject to the insurance low coverage.
• Issue the LPOS to the concerned agencies,
• The follow up of invoice settlement.
• Responsible for all general accounting function including accounts receivable and payable
• Examine, and analyze accounting records, financial statements including other financial reports to assess accuracy, completeness, and conformance to reporting as well as procedural standards.
• Handling and assisting the books of accounts independently up to finalization. Prepare cash flow statements, reconciliation statements & prepare final accounts such as profit & loss account and balance sheet.
• Preparing MIS reports such as clients-statistical history, loss ratio, contribution etc.
• Also assisting and preparing year-end report for audit purpose viz outstanding motor claims.
• Statement of motor claim recovery outstanding, statement of brokers account.
• The follow up of the settlement clearance with other insurance companies.
• Personally responsible about the interaction and negotiation with customers in all cases
• Prepare and audit the end year outstanding to control the loss ratio.
• Selling salvage of the total loss vehicles.
• Transfer the damaged vehicles to the concerned workshops to get them repaired and responsible of the quality control of the repaired vehicles.
