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Investigate and process insurance claims filed by policyholders.
Interview claimant and witnesses to gather pertinent information.
Handle and process a variety of claims, including automobile, life, and home insurance claims.
Handle property claims involving damage to buildings and structures, or liability claims involving personal injuries or third-person property damage from liability situations, such as motor vehicle accidents, slip and falls, dog bites, or alleged negligent behavior.
Inspect property damage to determine the extent of damages.
Verify that coverage applies through an insurance policy.
Evaluate damages to ascertain compensation amount.
Consult police and hospital records.
Consult with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.
Examine photographs and statements.
Listen to or watch audio or video surveillance.
Record data and statements in the report.
Evaluate all information to determine how the claim should be handled.
Negotiate with the claimant to settle the claim.
Work with attorneys to defend the insurer's position is claim is contested.
Issue payout amounts.
Prepare and present claims to insurance companies
Competency/Skill/Requirements
OND in Insurance Management
Problem-solving and decision-making skills in order to bring a claim to a conclusion
Strong Oral and Written Skills
Research, investigation and analytical skills
Diplomacy, negotiation and influencing skills
Customer Service
Claim Handling
Claims Adjuster experience
Project management skills
Attention to detail
The ability to work under pressure and to strict deadlines
Strong commercial awareness
Integrity and professionalism
A flexible approach to work
The ability to remain calm in difficult circumstances
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