Claims Officer

Job Description

The Claims Officer administers and processes insurance claims, including receiving reports and supporting documents, preparing files, conducting preliminary investigations, facilitating settlements, pursuing recoveries, and maintaining accurate records. Responsibilities include guiding customers through claim forms, explaining documentation requirements and estimated timelines, recording claims in 4D on the day reports are received, and linking supporting documents. The officer also inspects and photographs damaged vehicles or property, requests police reports and witness statements where necessary, contacts third-party insurers about liability, and checks client account balances with the Accounts Department. The role reviews estimates, prepares settlements, communicates approved settlements to insured customers and third parties, and informs customers when a different loss payee applies. Payments are added once settlement offers are accepted and supporting documents are received. Customer feedback questionnaires are administered for all new claims and settled Own Damage claims. Recovery duties include preparing demand and subrogation letters, submitting claim details to third parties or their insurers, following up on recoveries, and recording recovered amounts in 4D for authorization. The officer also reviews outstanding claims, updates claim statuses, coordinates legal files and follow-up with company attorneys, and maintains an organized filing system. Applicants must hold a high school diploma and a CII Certificate in Insurance, and have at least three years of insurance industry experience. The role requires attention to detail, a commitment to customer service and claims handling, detailed knowledge of technical insurance and law, and knowledge of practical claims handling. For the complete responsibilities and current application details, review the full posting on the employer’s application page.