Claims Executive
hace 1 semana
**Description**:
**Role description**
- Contribute to design of account specific instructions for claim handling
- Basic training to ensure client understands claims process and any specific instructions
- Post delivery internal review on lessons learned, colleague feedback and development
- Attend client meetings supporting pre-placement and renewal planning
- Facilitate claim event reporting with frequency and information required by clients or LOB
- Prepare and run operational client meetings, regular client contact regarding on-going claims
- Face-to-face meetings with clients when an incident occurs
- Identify revenue opportunities
- Track plan experience, resulting in loss ratio analysis
- Analyze incurred & paid claims
- Receive incident / event / enquiry
- Register new claims / enquiry and document management
- Verify validity of claim / event to policy (or policies) or plan coverage documentation and rules
- Investigate claims
- Assess coverage
- Gather information on incidents / claims events needed for assessment
- Advice on adjusters, lawyers or other experts
- Receive lawsuits and court rulings
- Advice on the procedural strategy and provide information throughout the entire judicial process
- Follow-up claims with adjusters, lawyers and other experts
- Notify / instruct carriers
- Manage negotiation process from beginning to agreement settlement or resolution
- Provide clear and timely information regarding claim to clients
- Create and share relevant documentation with clients
- Proactively help with obtaining prompt and fair settlement from carriers / clients
- Update claims and document management
- Provide SPOE (second pair of eyes) where requested
- Ensure any Claim Service Level Agreement checks are completed
**Qualifications**:
**Requirements**:
- Preferably Bachelor's degree, or relevant industry experience
- Knowledge of legislation that affects the brokerage activity (Example: GPDR, Insurance contract Law, Insurance brokerage law)
- Strong Spanish and English language communications skills required (written and spoken)
- Advanced management in Microsoft Office
**Atributtes**
- Customer & Service oriented
- High degree of analytical thinking, problem solver
- Acting as quality gate, ensuring high service quality
- Experience in building and maintaining relationships
- Strong business sense, commercial
- Good communication and networking skills
- Ability to explain complex issues
- Providing guidance, sparring and support to other team members
- Innovative, creative and focused on details/delivery
- Communicative, empathetic, good listener, organized, problem solver, manage ambiguity, ability to prioritize
- Proactive, agile, results focused, team worker
**WTW an Equal Opportunity Employer
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