Director Claims
Al Rajhi Co. for Cooperative Insurance
Total years of experience :24 years, 11 Months
1. Managing centralized Motor and Non-Motor Claims departments (Fire, Marine, Engineerin, Liability and General Accident Claims).
2. Coordinate with Shariah Committee to assist them in understanding of any new takaful product for onward submission to SAMA (Saudi Arabian Monetary Agency -Regulator).
3. Launched 17 new takaful products in collaboration with underwriting team and Shariah.
4. Underwriting of Personal Accident Takaful.
5. Liaise with different departments to reply queries of SAMA against various General insurance products to fulfill SAMA's requirements.
6. Working on MS Visio and Adobe Captivate software to design Standard Operating Procedure for Underwriting and Claims.
7. Total staff of 82 persons with 5 direct reporting.
8. Claim approval authority of SAR. 50, 000 for non-motor and SAR.90, 000 for motor claims.
9. Supervise average of hundred non-motor claims per month and three thousand motor claims per month.
10. Liaise with Legal department in case of recovery/subrogation chances from third party in non-motor claims.
11. Appoint Recovery Agent in case of recovery/subrogation chances in marine claims.
12. Deal with International Loss Adjusters (M/s. Cunningham Lindsey, M/s. McLarens Young International, M/s.Crawford, M/s. Charles Taylor, M/s. Matthews Daniel etc.).
13. Launched Personal Accident Takaful product for bank's account holders and credit card holders.
14. Member of Management Committee.
15. Member of Motor Salvage Committee.
16. Member of Project Committee to re-engineer process of different departments. Especially reorganization of Motor Claims Department to improve efficiency and customer experience.
17. Timely disposal of salvage.
18. Use AIMS/Eskadenia software to prepare Claims Analysis.
19. Coordinate with IT Department to resolve issues.
20. Attend meetings with brokers and clients to resolve disputed claims.
21. Dealing with brokers to discuss claims matter.
22. Correspondence with Reinsurers for claim recoveries.
23. Perform task (from vi to xiv) same as with previous employer.
i. Directly reporting to the Deputy General Manager, Technical Affairs.
ii. Handle Fire, Marine, General Accident, Engineering & Workmen’s Compensation Claims.
iii. Use PREMIA software for the Claims Statistics.
iv. Co-ordinate with loss adjusters, clients to resolve issues.
v. Deal with International Loss Adjusters (M/s.Matthews Daniel, M/s.White Law, M/s.Arab Loss Adjusters, M/s.McLarens Young International, M/s.Malcolm Gaskill, M/s. Noble Denton etc.).
vi. Visit site in case of claim to get the first hand knowledge.
vii. Continuously review outstanding claims with reserves.
viii. Assign task to sub-ordinates.
ix. Check loss adjusters' report etc.
x. Liaise with the underwriting department giving claim experience to improve underwriting.
xi. Risk Assessment of Fire Risk.
xii. Arrange Inter Department weekly meeting.
xiii. Prepare monthly Claims Management Report.
xiv. Prepare Claim Study for individual client.
xv. Supervise Life and Credit Life Claims.
• Worked as Claims Head (Marine, Fire, Motor, Misc Departments) in PKR 500 million branch.
• Co-ordinate with various Banks/Corporate sectors executives to resolve issues and assist them in claim settlement.
• Make sure of expeditious, judicious and efficient claims settlement.
• Prompt claims handling.
• Use GIS software for the Statistics.
• Co-ordinate with surveyors, clients and head office to resolve issues.
• Assign task to sub-ordinates.
• Maintain cycle-time register in order to avoid inordinate delay in claims settlements.
• Give approvals of Motor, Misc, Marine Claims up to PKR 100, 000 and for Fire Claims up to PKR 250, 000 at branch level.
• Conduct training classes of Motor Claim.
• Check survey reports, etc.
• Liaise with underwriting department giving claim experience to quote fire and other rates.
• Risk Assessment of various Fire Risk.
• Worked as Claims In-charge (from 2002 to 2005).
• Responsibilities: Handle all claims from intimation till final settlement.
• Worked as Underwriting In-charge (from 1999 to 2001).
• Responsibilities: Quote rates using tariff/underwriting guidelines, liaise with claims department for re-assessment of risk.
• Risk Assessment of various Fire Risks.
• Write risk assessment reports to Zonal Office mentioning recommendation for improvement in risk.
Currently 290 Credits