The Head of Claims will oversee daily claims operations, including adjusters, examiners, and other vital employees involved with claims processing and insurance program coverage. He/ she will lead claims team to work to facilitate property claims, casualty claims, and they problem-solve other claims issues. Ability to approve claims settlements within guidelines, handle recovery of claims. He/ She will be responsible to lead and guide the claims department along with the team for overall growth and will work closely with other Heads of Departments to recommend improvements to product and pricing.

Roles & Responsibilities

• Provide consistent support to all Team Members in addition to managing effective administration of Claims team members to ensure prompt and immediate attention to new claims intimations to reflect high levels of customer service provided to Sharq clients.
• Ensure effective claim settlement process should be designed to control costs so to ensure that covered losses are fairly reimbursed. Best practice customer service initiatives to protect Sharq brand and enhance its reputation. Claims Dept. to aim a reduction in the lifecycle of all claims. The quicker a claim can be resolved, the better it is for all parties.
• Ensure That team members to promptly open/respond to new Claims upon intimation from insured or third parties for all claim reported either in person/email/through Sharq website or in any manner as appropriate.
• Implement targeted strategies for control and reduction in average claims cost. This is via implementation of the best practices and high standards of customer service. This is also through Cost effective, proactive and credible dispute resolution mechanisms. Ensure that the team initiate / guide the clients throughout the claim process and properly refer them to Sharq vendors, as appropriate.
• Control the team review and confirmation of that policy coverage for all new claims. If no coverage, then to properly and promptly make the claimant aware of coverage matters. If coverage is found to be in place, then to proceed to next steps with prompt attention aiming for exceptional customer service.
• Immediately review any referral of cases involving fraud investigation if any red flags triggers potential fraudulent claimant.
• Continuous reviews to ensure timely provision posted upon receiving and registering new claim and amend the same throughout the claim process based on developments.
• Continuous monitoring to ensure p prompt and proper referral of claims to surveyors and continuous coordination with all parties including vendors, garages, internal and external surveyors as applicable.
• Prompt and attention to service management levels by Sharq vendors so to ensure it is in line with Sharq philosophy and expectations.
• Regularly review, monitor and follow-up with vendors to ensure proper service levels of Sharq's clients are in line with Sharq strategy and philosophy.
• Conduct regular reviews of data in the operating system to ensure its validity. Generate and provide higher management with periodic reports on large losses.
• Engagements and Evaluation of changes, new requests/new requirements, and initiate necessary actions in line with the established service level agreements.

Qualification, Experience & Skills Required

• Bachelors in Business, Finance, IT, or any other related discipline.
• Master’s degree in Management any other related discipline will be an added advantage
• 15+ years of total experience in claims, entailing responsibilities pertaining to the specific area of discipline.
• Risk Management or claim administrator experience.
• Ability to manage claim strategies.
• Risk Management, brokerage, or claim administrator experience.
• Ability to design, manage and implement claim strategies.
• Familiar with carriers, brokers and large deductible programs and claim reserving.
• Knowledge of general claim related accounting and financing.
• Knowledge of broad issues and changes in the Insurance sector.