Specialist - AAGI P&C Claims Motor Own Damage - Routine & Core South

Job description

Job Summary

Manage and perform duties effectively and transparently, taking into account service excellence, transparency, and reduction of claim costs and other related expenses. Adhere to accuracy, speed, and fairness in performing duties.

Key Responsibilities:

1. Review and control the approved repair prices for the insured vehicle, the other party's vehicle, and motorcycles within the approved limit.
2. Review labor and parts quotations (if provided by the garage), and photographs of the damage to both the insured vehicle and the other party's vehicle.
3. If a claim is suspected of being a fraudulent claim, the matter will be reported directly to the supervisor
4. Inspect all reported damages and any damage not clearly captured in the photographs.
5. Approve the damage price for the insured vehicle and the other party's vehicle within the approved limit and approve property repair costs within the approved limit.
6. Submit approved price lists within the authorized limit to the central Core Head for payment approval.
7. Issue invoices for the return of the wreckage to the wreckage buyer.
8. Consider and control the property damage price assessments within the approved limit. The budget authority approves prices for submission to authorized persons for payment approval.
9. Negotiate compensation for lost vehicle use within the approved budget. In cases exceeding the approved budget, the authority must be consulted with the appropriate authorized persons in each case.
10. Compensation for losses exceeding the budget must be negotiated and submitted to the OD Complex for consideration and approval in every case.
11. Clarify to the OIC, manage time appropriately for the area.
12. Negotiate BI through supervision, control, and approval of the budget from the central office.
13. Submit claims to the claims department if the insured vehicle is at fault.
14. Operate without causing complaints, both internal and external, through all channels, and resolve issues immediately upon discovery of complaints or potential complaints.
15. Find measures to reduce claim costs and other related matters without impacting customers and the workplace.
16. Maintain service mindset and ensure satisfaction for all parties in strict accordance with the company's policies.
17. Follow up on cases and negotiate at the police station, prosecutor's office, and court.
18. Investigate and investigate claims with reasonable grounds for fraud and forward them to the team. Inspect vehicles with significant damage or unclear photos submitted by the garage to the EMCS system.
19. Assist with NON-MT-CLAIM tasks.
20. Provide driver bail in emergencies or when the directly responsible officer is unable to perform the task.
21. Strictly manage and minimize claim costs and other related expenses in accordance with company policy.
22. Thoroughly review and consider claims to ensure accuracy, speed, and fairness.
23. Understand the company's performance, goals, and regulations, and strictly adhere to them to maximize company effectiveness.
24. Manage and prevent corruption, both internally and externally, and find ways to prevent complaints from occurring, both internally and externally.

Qualification:

• At least 3 years of direct experience in claims work, particularly in negotiating with other parties in the insurance industry.
• Bachelor's degree in a related field.
• Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.