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Manager Insurance

Location:
Johannesburg, Gauteng, South Africa
Posted:
March 10, 2020

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Resume:

Curriculum Vitae

Louis Johannes Adriaan Roux –

I am strong white male candidate with 25 years experience in the insurance industry.

I have been exposed to both personal lines and commercial claims and underwriting and have worked for Insurers, Brokers and Re-Insurer.

I firmly believe in the following:

Excellent client service; I am happy when my client is happy. I will do the extra mile because by doing that I will be assured of client and job satisfaction.

Integrity: I am an honest person and also believe that everyone should be treated fairly and with respect.

I am an experienced and mature person and know how to deal with confrontation caused by difficult situations, clients and Co-workers.

1

Personal Details:

Residential Address Highschool Randburg malibongwe drive Randburg

Date Of Birth 28 July 1961 - Rustenburg

Identity Number 610**********

Nationality South African

Marital Status Divorced

Telephone (W) 011-***-****

(F) 086*******

Cell 084-***-****

Religion Dutch Reform Church Of Africa, now Mosaiek

Qualifications Matriculated 1979 D F Malan Crosby

Subjects Afrikaans, English, Mathematics, Science,

Bookkeeping and Biology.

Rau Studied B Proc (Law) RAU 1980 – 1984(not completed)

Started FIAS Accretion September 1998 – Passed Short Term 2

July 2004 Fias – Passed Commercial Lines Short Term Insurance course through Damelin

91 Fais Credits

Passed RE1

Insurance Courses Short Term Insurance

Re-Insurance Intermediate

Business of Claims Management

Fire Business Interruption (MD & LOP)

Claims Management

Sasria Claims

Short Term Claims I

Various in-house Claims Courses At

Santam, PFV, Allied, IGI

Computer Courses Ms Dos, Lotus 1, 2, 3 V2.3, Notes

IBM Application, IBM Information

MS Windows V3.1

MS Access V2.0

MS Word

MS Excel

Ms PowerPoint

Windows 95

Windows NT

Sics. Reinsurance Program

SAP Accounting System

2

Career Overview.

Louwil Builders Insurance approved Building Contractor

Period of Employment March 2007 to date

Position Held Builder and Home Improvement specialist

Responsibilities - Inspect damages

-Compiling quotations and reports on damages on all damages relating to cover provided in terms of the policy.

-It has become a benefit to have the knowledge and insight of repairs and damages to know what must be done to effect repairs.

ABSA Insurance Company: October 2003 – February 2007

Valuator and Loss Adjuster (IN-HOUSE)

Responsibilities Assessments and valuations on bonded house insurance claims. Arrange meetings with clients and providing risk surveying of risk addresses and completion of valuation forms. Do assessments of damages caused by Insured perils. Combined and sectional title policies. Monthly production reports.

3

Global Risk Evaluations – Pretoria – September 2001- September 2003

Valuator and Loss Adjuster

Responsibilities Personal lines valuations on house contents and buildings.

Arrange meetings with clients and providing risk surveying of risk addresses and completion of valuation forms.

On the loss Adjusting side, interviewing of clients, follow up on SAPD investigations, obtaining replacement quotations, refer goods to approved repairer and adjustment of claims. Obtaining signed Agreement of loss and providing loss ratio reports to brokers on savings. All type of claims – personal lines and related perils and Multi Mark three wording on small commercial type of business

Highlander Underwriting Managers – July 2001 To August 2001

Claims Consultant. (Temporary Assignment)

Responsibilities Loading of claims on Tial computer system

Assist Claims Manager in day-to-day operations and duties

Lion of Africa – March 2001 – June 2001

Head Office Claims Manager (temporary position – three months)

Responsibilities Heads up the department and controlling of Outsource Partners

Monthly reports

Authorize cheques

Control and monitoring of services providers

Instituted procedures and agreements with Salvage contractor, glass replacement agents, Loss Adjusters and Motor Assessors

Large losses and advice to Re-Insurers on Cash calls

Regular visits to Branches

Monitoring of Ratios

Appointing of Loss Adjusters and Specialist on Large difficult and problematic claims.

4

Attend to Ombudsman queries and negotiations on repudiated matters.

Monitor and Implementation of requirements of SAIA circulars.

SASRIA Claims and recoveries

Monitoring of Aggregate accounts

Monitoring of Co-Insurance claims and payment request.

Dealing with Brokers and Agents

Managing training and development of Staff.

Responsible for the Staff claims

Selling of Salvages and setting up of procedures.

Normal Run of Claims Department.

Budget Analysis.

Staff Performance Appraisals

Risk Surveys and Acceptance of Risk.

Involvement in Claims Audits and Risk Management.

Enhancement of Computers System and Training.

Weekly Management Meetings.

UNIHOLD / Swiss Re – February 2000 To 30 November 2000

Team Leader on Data Cleansing Project for Re-Insurer – Swiss Re.

Responsibilities Identify the Incorrect Data and Correcting of Data.

Part Of the Team to Identify the Incorrect Data and Issues.

Preparing Of Training Module for Staff. Interviewing Of the Correct Candidates for Project.

Analysis of the SICS Computer System and Recommending New Issues. Ten Staff Reports To Team Leader. Project was a success and received a Bonus.

5

Swiss Re – December 2000 To February 2001

Technical Support on Financial Project for Re-Insurer – Swiss Re.

Responsibilities Locating of Unallocated Cash and identify the incorrect data and correcting of data on SICS and Sap system.

A JAFTA & Associates – October 1999 To January 2000

Loss Adjuster

Responsibilities Worked As an Insurance Loss Adjuster on Various Claims for ESVOM LTD and SPOORNET Staff Housing Claims.

Visited Material Damaged Sites, Inspecting Damaged Goods and Scrutinizing Documents

Compiling Reports and Recommending Acceptance of Claims. Recommending Repudiation on Certain Liability Policy Claims.

Worked On the Assets Policy and Liability Claims.

AON Risk Services in capacity as Claims Manager / Junior Broker

January 1999 - September 1999

As the Claims Manager in the AON Risk Services Department, I had a large portfolio of Clients, to name a few;

SIEMENS

GERMISTON Fresh Meat

DVG Construction

CHEMTRANS

Columbus Stainless Steel

David Brown Gear Industries

Excel Petroleum

JHB Child Welfare

Albert Fisher

6

OSIWENI Development Trust

Tiger Chemicals

N F Die Casting

Wall Erect

World Outreach Ministries

Nike

ROTEK

Delta Motor Sport

Daewoo

Development of Claims Procedure Manual

Action pack for Clients

Claims Audit on other Claims Departments.

Responsible for Renewal and figures for renewal terms

Chemical & Oil Insurance Brokers: 1 July 1994 To December 1998

Claims Manager: Junior Broker

Responsibilities Handling Of Sasol/Polifin Claims.

Claims Under the Following Policies:

Main Production – Mainly Placed Overseas. Assets All Risk, Primary Liability, Umbrella Liability, Sasria, Group Car/ Ear, Pension Fund Assets Policy, Housing and Motor. Locomotive All Risks. Special Type Vehicles. Marine, Motor Third Party, Open Cast Mine All Risk, Personal Accident.

Liaison with Other Brokers, All Local Insurance Companies and Overseas Reinsurers.

Appointment of Loss Adjusters and Contractor

Collecting Of Funds and Claim Settlements on Material Losses, Loss of Profit and All Allied and Fire Policies.

Handling Of Large Claims: Benfield Fire @ R85 Million. Explosion of reactor @ R245 Million. Aggregate Accounts.

Liaison with Attorneys on Public Liability Claims.

Dealing With Problematical Claims – Murphy’s Pipelines.

Claims Meetings with Clients. Bi-Monthly Risk Management Meetings.

Statistical and Monthly Reports.

Renewal figures and placing of policies information. Maintenance of policy files

7

Old Mutual Representative: January 1994 – February 1994

Representative – Northcliff

Responsibilities Selling of Life Policies

Investment Advice

Financial Planning

Testaments

Investments and Short Term Insurance.

Administrative Duties on Policies.

Collection of Premiums and Debit Order Forms.

Group Schemes.

IGI Bobputhatswana: June 1992 – November 1993

Claims Manager/ Assistant Branch Manager - Mafikeng Branch

Responsibilities Controlled 12 Staff Members in Claims Department. In Absence of Branch Manager, Controlled 46 Staff. Handled Short Term Claims, Commercial And Aggregate Accounts.

Dealing With Brokers and Clients.

Dealing With Head Office, Panel beaters and Contractors.

Appointment of Loss Adjusters.

Authorization of All Claims and Cheque Signatory Up To R1 Million.

Normal Run of Claims Department.

Budget Analysis.

Staff Performance Appraisals

Risk Surveys and Acceptance of Risk.

Involvement in Claims Audits and Risk Management.

Enhancement of Computers System and Training.

Assist the Short term manager in the placement and terms of policies, special conditions

Weekly Management Meetings.

VIPs & Quasi-Government Accounts

8

ABSA Insurance Company: December 1991 – May 1992.

Assistant Claims Manager – Assistant Short Term Manager.

Responsibilities Same as per Allied but with more work and added responsibilities. Client Base: Allied, United, Volkskas, Trust Bank. In the absence of the Claims Manager, I would be acting and receive his signing powers and mandates.

Allied Insurance Company: November 1989 – November 1991

National Claims Manager / Assistant Short Term Manager

Responsibilities Head Office Capacity, Mandate Over 8 Regional Managers, 48 Branches Nation Wide.

Handling Of Large Claims – R4 Million Cosatu House Fire, Dealt with Sasria (Political Riots) on Recovery of Funds.

Catastrophic Losses – Welkom Tornado R8.5 Million. Recovery of Funds from Re-Insurers on Catastrophic Losses.

Appointment of Senior Loss Adjusters, Contractors, Dealing with Managing Agents and Brokers.

Dealing with Attorneys - Court Case.

Recoveries and Instructions to Attorneys.

Sasria Claims – Recoveries.

Motor Fleet Claims and Underwriting and placing of cover.

Fund Management.

Arrange Insurance Cover for Allied Group Insurance requirements/ needs – Office Contents, Staff Relocation and Personal Insurance.

Body Corporate Claims – Largest Account on Books at that time.

Combined Policy Claims and Underwriting.

Bonded Properties, House-owners Claims.

Staff Claims.

Statistical Data for SA

Risk Surveys with Short Term Manager.

Re-Insurance Placement with Self-Funding.

9

Price Forbes: January 1988 – October 1989

Claims Technician/ Junior Broker Course

Responsibilities All Personal Lines Claims – Short Term, VIP Clients, Part of Holiday Help Line, Appointment of Loss Adjusters, Bordeaux Claims on Priceless Policy. Started with training of Junior Brokers Course in Underwriting, placing of policies, risk surveys and site visits. Statistics of policies performance

Santam Legal Department: December 1986 – December 1987

Claims Clerk

Responsibilities Claims Handling of All Motor Claims, Aggregate Accounts, Recoveries and Facultative Claims.



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