Qureos

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Claims Specialist

Riyadh, Saudi Arabia

Job Purpose:

Manage the Claims process and ensure it is communicated, followed up and settled in an efficient and timely manner as per the insurance guidelines.


Key Accountabilities:


Claims Process:

Register claims with relevant stakeholders, validate the insurance against the set policies and determine the claim size. Track claims from submittal to settlement. Conduct provider negotiations for insurance claims.

Manage and handle all insurance claims such as P&I, HH&M, GC, Crew, Legal…etc. Review and study contracts and reports to make effective claims management decisions. Liaise with P&I Clubs, Lawyers, agents network, Surveyors and Underwriters. Act as a technical expert in the insurance claim area.


Relationship Management:

Build and maintain strong relations with legal entities P&I Clubs, H&M Underwriters, Loss Adjuster and Brokers to ensure seamless business support.


Reconciliation:

Reconcile claim’s summary for the Manager’s review in order to validate correct measures.


Concepts & Policies:

Define insurance claims guidelines and procedures to mitigate risk exposure and cost of insurance claims. Adopt and apply new professional strategies and policies within the area of responsibility in accordance with management directions.


Risk Management:

Identify and mitigate risk exposure for all insurance matters and related to P&I and H&M Policies.


Qualifications and Experience:

Bachelor degree in Insurance Claims, Risk Management or equivalent.

Minimum 4 years of relevant experience in Claims handling and Loss prevention.


Professional Certificates and Licenses:

Qualification from The Chartered Insurance Institute (CII) is preferred.

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