Insurance Risk Evaluator
1 month ago
**Job Summary**
This position is responsible for handling claims, including non-standard cases, on the Involved Line(s) of Business, following agreed claims processes to achieve settlement and business objectives, while delivering excellent customer services.
**Job Duties**
- Investigate, evaluate, and resolve assigned claims, including non-standard cases, within designated personal authority levels, in line with established standards, procedures, and guidelines.
- Conduct proactive settlement through appropriate negotiation or mediation, including instructing and collaborating with counsel regarding litigation strategy and claim resolution.
- Identify and investigate suspicious or fraudulent claims, escalating to supervisors as needed.
- Work with other stakeholders, including underwriting, finance, actuarial, operations, and technology, as required.
- Ensure compliance with all legal, regulatory, and policy requirements internally and externally.
- Perform additional duties and responsibilities as warranted, including ad-hoc projects.
**Requirements**
- Relevant academic qualifications with a minimum of 2-3 years of solid working experience on the Involved Line(s) of Business.
- Preference for holders or those in progress of professional insurance qualifications, such as ANZIIF or ACII, and meeting minimum local mandatory qualification requirements where relevant.
- Apply planning, prioritization, and organizational discipline in managing workload and focusing on priorities.
- Proficiency in oral and written communication skills in English and Cantonese.
We are headquartered in Bermuda, with offices in various locations, and our team of professionals has deep expertise in the industry.
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