Lehan Groenewald
Junior Claims Consultant
Hatfield
Summary
Dynamic Junior Claims and Underwriting Consultant with a strong background at Gencom Risk Underwriters. Proven expertise in claims analysis and risk assessment, enhancing operational efficiency and client satisfaction. Recognized for excellent client service skills and effective documentation management, consistently achieving timely resolutions and fostering strong broker relationships.
Overview
2
2
years of professional experience
Work History
Junior Claims Consultant
Gencom Risk Underwriters
11.2024 - Current
- Analyzed and processed insurance claims, ensuring accuracy and compliance with industry regulations, enhancing operational efficiency.
- Collaborated with cross-functional teams to investigate and resolve complex claims, improving customer satisfaction and trust.
- Managed claim documentation and maintained organized records, which streamlined processing and reduced turnaround times.
- Conducted thorough reviews of claims data, identifying discrepancies and implementing corrective actions to mitigate risks.
- Engaged with Brokers to clarify policy details and claims processes, reinforcing strong relationships and customer loyalty.
- Improved claims processing efficiency by streamlining workflows and implementing best practices.
- Conducted comprehensive risk assessments to identify potential exposures and recommend appropriate coverage options.
- Negotiated favorable settlements for clients, maintaining a high success rate in claim resolutions.
- Collaborated with legal teams to defend against fraudulent claims, protecting company assets.
- Reduced claim resolution time with thorough investigations and effective negotiation techniques.
- Reviewed policy applications for accuracy, identifying errors that could impact future claims processing or payouts.
- Followed up with customers on unresolved issues.
- Evaluated and settled complex insurance claims in strict timeframes.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Examined claims forms and other records to determine insurance coverage.
- Get all the documents needed to do third party recoveries and follow up with Insurance companies.
Junior Underwriter Consultant
Gencom Risk Underwriters
02.2023 - Current
- Analyzed policy applications to assess risk factors, ensuring compliance with regulatory standards and efficient decision-making.
- Collaborated with senior underwriters to refine underwriting processes, resulting in improved turnaround times for policy approvals.
- Reviewed and evaluated client information using underwriting software, contributing to accurate risk assessments and enhanced service delivery.
- Assisted in the development of underwriting guidelines, promoting consistency and adherence to industry best practices across teams.
- Engaged with Brokers to gather necessary documentation, facilitating comprehensive risk analysis and effective communication of policy requirements.
Education
High School Diploma -
Afrikaans Hoër Seuns
Pretoria 04.2001 -
Skills
Claims analysis
Risk assessment
Policy evaluation
Documentation management
Strong background in underwriting
Excellent client service skills
Ability to work independently or as part of a team
Timeline
Junior Claims Consultant
Gencom Risk Underwriters
11.2024 - Current
Junior Underwriter Consultant
Gencom Risk Underwriters
02.2023 - Current
High School Diploma -
Afrikaans Hoër Seuns
04.2001 -