Claims Manager

Job description / Role

• Ensures development and implementation of operational policies and procedures and provide guidelines as and when required, throughout the company.
• Develop and review the strategic Plan for the division aligned with the corporate goals and objectives.
• Perform periodic review of the claims system with a view to aligning organization targets with operational network in terms of manpower resources, IT resources and infrastructural setup.
• Present annual department budget relating human resource and expense requirements for onward review and approval by the CEO.
• Monitor the actual business figures verses budget and take necessary steps to fill the gaps.
• Manage all claims portfolios in accordance with the guidelines communicated periodically by the CEO with the purpose to achieve the corporate goals/objectives.
• Ensures claims settlement as per authority matrix issued by the CEO.
• Supervise claims settlement throughout the company.
• Review claim files, assess estimation of claim(s).
• Examine and evaluate surveyor profile and relevant details along with suggestions by subordinates, hold interviews and discussions and approve surveyor’s enlistment into the company’s panel on coordination with CEO.
• Update CEO and technical Manager on the enlistment of new surveyors, on a periodical basis.
• Approve and circulate weekly list of the surveyors, for Motor insurance claims.
• Assess surveyor report along with relevant details of the claim and approve, within the settlement authority assigned by the CEO.
• For claims over and above the settlement authority, assess surveyor report along with relevant details of the claim and recommend for approval by the relevant authority.
• Maintain record with respect to class of insurance, client-wise, branch-wise and conduct periodic loss ratio analysis.
• Ensures intimation to Reinsurance Manager of claims exceeding SR 50,000 for all classes of insurance.
• Ensures intimation of a major claim to CEO and Technical manager for taking appropriate action in underwriting matters regarding particular client and/or the portfolio.
• Maintain continuous coordination with underwriting departments and discuss & recommend suggestion to Risk and Strategic Manager in terms of claims verses underwriting.
• Disseminate claim related information to Risk and Strategic Manager on a periodical basis or as and when necessary or asked.
• Ensures human resource of the division is motivated.
• Provide, in house, periodic training to staff member related to claims processes.
• Prepare and present department budget requirements to CEO for review and approval.
• Coordinate and respond with internal and external auditors for their queries.
• Provide all the necessary information required by governmental controlling authorities.
• Develop his staff to acquire the necessary skill, knowledge and proper attitude to perform their jobs.
• Perform any other job assigned by the CEO.

Requirements

Saudi Nationals are preferred for this vacancy. Client is looking for a university graduate of any discipline, however they must come from an Insurance background and have experience of working the Saudi market.

About the Company

At Hays, we invest in lifelong partnerships that empower people and businesses to succeed. With over 50 years’ success under our belts and a workforce of 10,000+ people across 32 countries, we’ve evolved to put our customers at the heart of everything we do.

So much more than a specialist recruitment business, what really sets us apart is our knowledge through scale, deep understanding and our ability to meaningfully innovate for our customers. By providing advice, insights and expertise on issues you face today in the fast-paced world of work, we help you make the right decisions for tomorrow.

Offering an unrivalled suite of recruitment and workplace solutions, whether you’re looking for what’s next in your career, or have a gap to fill, we’ll help you get where you want to go.

You can rely on us to deliver today and help you plan for tomorrow.