Job Description MISSION : The Claims Analyst manages claims activities, including claim files resulting from all products according to individual delegation, taking into consideration the legal environment and existing group rules, as well as individual policy stipulations. The Claims Analyst is responsible to indemnify claims where they have been insured following the correct claims procedure, handle Claims procedure effectively in order to minimize losses and support on-time achievement of indemnification, as well as continuously improve policies, service standards and efficiencies in order to reduce costs whilst achieving all key operational performance objectives within a demanding competitive risk environment MAIN RESPONSIBILITIES: Claims Handling: Analyse claims relevant documents and evaluate whether or not a claim is covered. Communicate and discuss results to external and internal parties, negotiate possible solutions. Develop proposals for further procedure when exceeding own delegation (to head of department/GICD). Establish and maintain updated reserve of each claim using the dedicated claims tool to ensure the accuracy of the financial information provided. Prepare the indemnities on due time, imputing the information in the specific tool, so that the double check can be done and the payment released by analyst with the adequate delegation. Provide documents to debt collection area to support them in the amicable collection with the debtor or to file a legal action. Monitor and take care to keep the status of the claim up to date. Take appropriate action to maximize recoveries at the outset of the notification Customer service: Communicate with clients and brokers preferably by phone, with email used as a backup in order to build relationships and provide clarity of understanding. Correspond with policyholders, brokers, lawyers and internal contacts and take ownership of resolving their queries. Improve customer satisfaction (availability, professional communication). Assist the client /partner explaining and clarifying the reason for the non-covered invoices. Initiate claims meetings with policyholder/broker/fronting partner. Organize the activities of the indemnification with the aim to improve the percentage of claims paid on time and therefore to increase client satisfaction. Assist the client, broker, lawyers and internal contacts providing advice on issues relating to the management and settlement of claims, acting as a contact person available and professional. Interact with the Debt Collection Department in identifying the most appropriate actions to take in the recover activity. Reporting: Compile reports according to group rules. Processes: Organize internal processes and workflows, and identify improvement possibilities Participate in internal projects. Compliance: Investigate with the objective of fraud prevention. Be aware and adhere to local compliance legislation and group compliance.
