Motor Claims Assessor / Survey & Inspection Officer at Cornerstone Insurance PLC

Description:

Reports to: Head, Central Claims

Job Objectives:

 The primary focus of this position is to support and maintain an efficient Claims processing System. To ensure prompt claims inspection/investigation, complete claim documents requested for and received,carry out sound analysis of documents and Adjusters report, in order to settle genuine claims promptly. Necessary reserve created and updated when additional information is received, control measures put in place for proper monitoring.

Disposal of salvage and recovery from negligent third party to reduce our outlay. Follow up with Reinsurance Unit to ensure necessary recoveries are made from Treaty and Facultative Reinsurers.

Responsibilities

Compliance Strategy:

• Acknowledging claim notification and requesting for claim substantiating documents
• Book appointment with claimants/brokers to arrange for physical inspection
• Under take physical inspection and investigation to ascertain validity of report claims
• Appointment of External/ Loss Adjuster for huge/technical claims and review of their report upon receipt, while other claims are adjusted in house                  based on laid down procedures and quantum of the claim.
• Prompt generation of documents (letter, Offer letter, Discharge voucher, Cheque Requisition, dispatching cheques promptly, required report etc) and               communication of organisation’s position/decision within the specified Service Level Agreement.
• Strives to ensure Insured understands the benefits/scope of cover of the policy issued and what is not covered when a claim is controversial.
• Resolving Insured’s complaints related to Claims Administration, refers difficult or very complex complaints to Head of Central Claims when the need              arises. 
• Acting as liaison with various insurance stakeholders to foster effective relationship with client representatives.

Primary Role

• Prompt investigation of reported claims
• Ensure accuracy and completeness of claims documents before concluding the claim.
• Interpret policy wording, analyse and review adjustment to determine the company’s liability and make necessary recommendation to the Unit /Team  Leader
• Compliance with various SLA –acknowledgement of mail, reviewing and summarising Adjuster’s report, carrying out in house adjustment,   communicating the organisation’s decision, raising cheque requisition and dispatching claim cheques.
• Review reserve based on available information
• Send copies of loss adjusters reports to co-insurers and collate their recommendations
• Compliance with NAICOM guidelines

Job Requirements

Education

B.Eng (Mechanical or Civil), B.Tech - Mandatory

Experience
2-4 years’ experience as a Survey & inspection Officer

NB: Only qualified candidates that reside in Lagos will be contacted.