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Claims Officer
- Port Louis
- Not disclosed
- Posted Jun 10, 2026
- Closing 10/07/2026
- Insurance
- Claims Officer
- Claims Representative
- Claims Specialist
- Insurance Jobs
Job Description
About GFA Insurance Ltd
GFA Insurance Ltd is a dynamic and customer-focused
insurance company committed to delivering high-quality insurance solutions and
exceptional service to our clients. We are seeking a professional, organized,
and customer-oriented Customer Service Officer cum Receptionist to join our
team.
Position Summary
1. Assessment
· Register
new claims accurately and promptly in the system.
· Verify policy coverage and
validity before claim processing.
· Ensure claim documentation is
complete and compliant with company guidelines.
· Set provisions/reserves
accurately as per company policy and guidelines.
· Claim
Follow-Up (Third Party & Comprehensive Claims)
· Send claim intimation and
acknowledgment emails.
· Follow up with reminders for
outstanding documents or reports.
· Communicate effectively (via
phone, email, SMS) with claimants, policyholders, and third parties on a regular
basis.
· Advise clients about the claims
process, required documentation, and their rights.
· Assist claimants with any
concerns or complaints, escalating complex issues when necessary.
· Appoint surveyors, follow up for
timely survey reports, and ensure report quality.
· Liaise with garages, repairers,
and assessors for vehicle inspections and repairs.
· Book contract cars or alternative
transport as required.
·
Evaluate claims fairly and ensure settlement in line
with policy terms (cash settlement or repair).
·
Process all claim payments promptly and accurately.
·
Ensure an excellent level of customer service and
empathy throughout the claims process.
3. Claims
Monitoring & Reporting
· Set daily/weekly work targets and ensure they are achieved.
·
Track progress and report performance updates to the
Claims Manager.
·
Maintain proper claim records, documentation, and
correspondence for audit purposes.
·
Identify and escalate any suspicious or potentially
fraudulent claims.
·
Contribute to process improvement by providing
feedback on recurring issues or inefficiencies.
4. Compliance
& Process Adherence
·
Abide by the company’s Claims Guidelines, internal
controls, and regulatory requirements.
·
Maintain confidentiality and handle all data in line
with data protection regulations.
·
Ensure consistent application of claims handling
procedures and best practices.
What We Offer
- Competitive
remuneration package.
- Professional
and supportive work environment.
- Opportunities
for learning and career development.
- Exposure
to the insurance industry and customer service excellence.
How to Apply
Interested candidates are invited to submit their
CV and cover letter through MyJob.mu. Only shortlisted candidates will be
contacted.