Role: Claims Processing Support Assistant
Location: Malta
Salary: €22,000 – €27,000
 
Achieve Professionals are happy to be working alongside one of our esteemed European clients in looking for a new Claims Processing Support Assistant for their office in Malta! In this role you will be responsible for handling claims related to general insurance policies, from the initial stage through to settlement and recoveries. This includes sharing updates with relevant stakeholders and ensuring the accurate processing of claims throughout their lifecycle. You will need to ensure a high level of customer service delivery and satisfaction in servicing claims enhancing the company’s brand/reputation. While still ensuring you adhere to the claims manual and standard processes when adjusting claims in line with the intent of the policy.
 
Requirements:

• Attention to detail: Ensure accuracy in claims entry, payments, and record updates.
• Basic Accounting Skills: Handle statement reconciliations and process claim payments accurately.
• Microsoft Office Skills: Proficient in Excel, Word, and Outlook for data management and communication.
• Analytical Thinking skills: Identify recovery opportunities and review claims information carefully.
• Communication skills: Effectively work with brokers, insurers, and escalate issues when needed.
• Relevant Courses: Certifications like Cert CII (Certificate in Insurance) &/or finance related courses &/or Introduction to Insurance Claims would be considered an advantage.

 
The role:

• Review FNOL against policy schedules, register claims, and escalate unusual cases to management.
• Achieve assigned objectives and efficiently manage claims within allocated files, adhering to SLAs.
• Ensure claim entry accuracy and update reserves at each touchpoint.
• Handle a portfolio of recovery files, including debtor and creditor statement reconciliations.
• Process claims payments while maintaining accuracy in payment records.
• Follow the company complaint management procedures diligently.
• Identify potential recovery at the outset of claims and sending holding letters to identified negligent parties.
• Review of final claims submissions before recommendation for payment.
• Participate in monthly claims reviewing process.
• Support in the investigation of potential fraudulent claims.
• Liaising with Brokers and TIIs on claim related matters.
• Fulfil any additional responsibilities delegated by Senior Management or the Core team.

 
Key Accountabilities

• Evaluation of claims as per the policy terms and conditions.
• Maintain and develop personal knowledge and skills through continued professional development.
• Assist Senior Management with claims audits.
• Handle a portfolio of recovery files.
• Liaise with other departmental heads as required.

Key Success Factors

• Demonstrate efficient handling of General Insurance Claims, from First Notification of Loss

(FNOL) through to settlement.

• Demonstrate a creative mind set and innovative skills with a strong sense of commitment to

providing the highest client experience possible.

• Be a confident team player who can fit into a multinational company environment.
• Demonstrate a readiness and engagement for continuous development and learning.
• Proactively follow up on claims, using the document management system
• Individual performance objectives will be set on an annual basis.

What’s in it for you:
 

• Annual Performance Bonus
• Life insurance 2 x annual salary
• International health insurance
• Summer Hours
• Yearly eye screening
• Parking (After completing 6-months probation)
• Payment of membership fees for professional institutes (CII)
• Generous education awards for achievement of professional qualifications
• Sponsorship on training related to the line of work
• Discount on personal insurance policies (After completing 6-months probation)
• Employee Assistance Programme (a free and confidential support programme to provide assistance in addressing personal problems)