Supervisor – Engineering & Liabilities Claims (Non-Marine & Energy)

Transguard Workforce Solutions is the UAE’s leading provider of unique and innovative HR solutions. With a decade of experience in the region and a team that possesses extensive knowledge of the market, we provide a fully integrated HR solution.

We are currently recruiting a Supervisor – Engineering & Liabilities Claims (Non-Marine & Energy) for our client based in Abu Dhabi, UAE.

Job Purpose:

The job holder is responsible for supervising and implementing claims management strategies for Engineering & Liabilities Claims (Non-Marine & Energy - Direct). This includes overseeing a team of senior officers to ensure claims are processed promptly, accurately, and in compliance with insurance policies, company standards, and regulatory guidelines.

Job Responsibilities:

1.Policy & Compliance:

• Review and recommend updates to claims policies and procedures.
• Ensure compliance with rules, regulations, and procedural requirements.
• Communicate policies and procedures effectively across the team.

2.Claims Operations:

• Supervise claim registration, processing, and reserve creation.
• Review claims processed by senior officers for accuracy in deductibles and limits.
• Evaluate survey reports and assessments.
• Ensure timely and accurate responses to claims queries within SLA timelines.
• Monitor claim documentation, investigation, evaluation, negotiation, reserving, and settlement.
• Analyze claim trends and support strategy development to address adverse patterns.
• Support litigation processes and draft legal correspondence when required.
• Maintain and update physical and electronic claim files.
• Review and validate settlement payments and denials.
• Ensure timely reporting to management and internal stakeholders.
• Conduct claims ageing analysis and monitor unsettled claims.
• Manage external loss adjusters and surveyors.
• Support training and development initiatives within the team.

3.Claims Rejection & Investigation:

• Review declined claims and ensure proper communication with clients/brokers.
• Investigate complex and suspicious claims and provide recommendations.
• Ensure technical justification for all claim rejections.
• Implement dual-check processes within the team.

4.Continuous Improvement:

• Identify opportunities for process and system improvements.
• Support development of tools for efficient claims settlement.
• Align improvements with market needs and approved strategies.

5.Customer Satisfaction:

• Ensure high standards of customer service.
• Address claim-related queries promptly to enhance client satisfaction.

Key Performance Indicators (KPIs):

• Adherence to Turnaround Times (TATs)
• Nil actionable or aged claims
• Increased claims settlement and recovery ratios
• Reduced excess payouts and erroneous payments
• Improved response times and reduced customer complaints
• Effective performance monitoring of loss adjusters/surveyors
• Successful implementation of process improvements

Job Requirements:

• Bachelor’s Degree in relevant field
• Native Arabic Speakers required
• Diploma in Insurance or relevant certification - preferred
• 4–5 years of relevant experience in Engineering & Liabilities Claims, including 2-4 years in a supervisory role