GSSC Claims Service Officer

This role is responsible for end-to-end claims management, including decisions on claim outcome, declining claims, customer interaction (inbound and outbound), supplier coordination, raising payments to suppliers and claim finalization. The role also ensures portfolios are compliant with SLAs measured.

Primary Responsibilities

• Ensure compliance with QBE policies, procedures and relevant legislations and regulations.
• Ensure compliance within delegated authority limits.
• Adhere to triage/transfer guidelines.
• Provide feedback to claims handler on necessary action or activity on claim.
• Maintain effective communication with customers.
• Accurately and completely respond to customer’s queries on claims or a specific claim.
• Settle fast track claims where invoices are already made available by customer at the onset.
• Identify recovery opportunities on claims.
• Identify suspicious or potentially fraudu...