Senior Officer- Property and Financial Lines claims (Direct)

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- Property and Financial Lines claims (Direct) 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.

Responsibilities-

• Claims Processing Activities.
• 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 register the claims under the Policy.
• 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 set quality standards, policies and procedures are followed as per the claim manual.
• Ensure quality of information obtained from underwriting file.
• Ensure compliance with turn around 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.
• 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.

• Minimum 2 years of experience in similar role
• Bachelor’s Degree in any discipline
• Cert CII- Certificate in Insurance
• Language Requirement- English, Arabic

This position profile indicates in general the nature and levels of work, knowledge, skills, abilities, and other essential functions expected of an employee. An employee may be asked to perform other duties as required which are within the scope, spirit, and purpose of the position profile. The employee shall also adhere to TRANSGUARD’S information security policies and procedures and the policies and procedures applicable to their area of responsibility.