Senior Officer -Commercial Lines Claims (Non-Marine & Energy) Indirect

Transguard Group was established in 2001 and has diversified significantly, we lead in the fields of Cash Services, Security Services, Manpower Services, Facilities Management & Aviation. Transguard Group is the UAE’s most trusted business support and outsourcing provider and has a large, dynamic and culturally diverse workforce with 50,000 employees! We are currently recruiting for a Senior Officer -Commercial Lines Claims (Non-Marine & Energy) Indirect for our client to be based out of their Abu Dhabi office.

Purpose-

To handle day-to-day commercial lines claims settlement process, ensure quality of data input into the computer system, word processing documents and preparation of periodical Claims Statistics whilst ensuring compliance with all policies, procedures and set company quality standards, and guidelines.

Responsibility-

• Receives claims from the relevant parties.
• Review Policy copy for new claims and checks the pertinent policy coverage details.
• Identifying valid and invalid claims during the course of scrutiny as above. After the same is completed, to provide for registration of the claims under the Policy to Pool.
• To bring to the notice of Supervisor/ Assistant Manager/ Manager the invalid claims falling in the excluded category and identified by them during assessing for appropriate action/ rejection.
• Ensure compliance with turnaround time as per claims procedure.
• Ensure prompt notification to Reinsurers are done and subsequent advices are followed.
• Ensure accuracy of reserves being updated.
  Appointment of Loss Adjusters after discussing with Supervisor/Assistant Manager/ Manager and subsequent approval from EVP- Claims.
• Prepares reserve update sheets when required for necessary revision of reserves in the system and submits file for approval as per procedure.
• Prepares reserve and status updates to Facultative Reinsurers.
• Prepares Claims Statistics for the U/W Departments / Management Information System, as and when required under guidance from Line Manager/Supervisor.
• Prepare payment trackers to Finance after issuance of Claim Credit Notes.
• Complete data entry for Claims Settlement Credit / Debit and submit to Supervisor for approval.
• Organizes Daily Reported Claims bordereau for the Dept.
• Organizes periodic transfer of closed files to the store.

• Bachelor’s Degree in any discipline.
• Minimum 4 years of experience in managing claims.
• Knowledge of Claims management process and documentation including investigation of claims.
• Efficiency in handling customer queries and broker handling
  Knowledge to understand and interpret pertinent policy coverage details as well as Survey Reports.
• Ability of investigation of claims with a fair ability to analyse prediction elements, transaction trends and detect early warning signals of potential frauds.
• A fair knowledge of Reinsurance claim management process and documentation.
• Compilation of MIS reports and Analysis.
• A fair understanding of the Regulatory requirements.