Job Ref. No. MUA05001
Position Summary:
The successful candidate will be responsible for monitoring the performance of claims statistics and behaviors to ensure the quality and accuracy of that data, then process, design, and present it periodically or as requested in ways to help the business make better decisions.
Key Deliverables:
Ensure claims are in order through verification of all claim forms submitted by the claimant
Ensure all claims submitted are properly registered to avoid duplication
Indemnify the policyholder in accordance with the cover available to the individual
Respond to correspondence on claims
Ensure that claims handling is conducted in compliance with applicable statutes, regulations, and company policy
Ensure correct claim costs are reserved
Ensure third party recoveries are made
Analyze claims presented
Ensure that correct service providers are appointed; loss adjusters, investigators and assessors
Recommend claims to be approved
Issue approval notes or decline notes
Pay service providers fees
Follow up for the settlement of relevant claims including the service provider’s fees
Ensure that claims are processed and paid in a timely and accurate manner
Follow up on recovery with other parties to make good the claims presented
Ensure that claims are processed and paid in a timely and accurate manner
Recommend claims to be settled
Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis
Follow-up on various reports to avoid delays in claims settlement
Ensure customer satisfaction in settlement of claims to avoid disputes
Resolve complaints/disagreements with service providers amicably so as to maintain a good working relationship
Respond to correspondence from clients and agents
Interact with agents and claimants, meet them in person for settlement of claims
Point out areas for clarification on documentation provided and investigate doubtful entries
Generate monthly claims recovery reports
Ensure the accurate and timely preparation and processing of all claims and payment transactions
Requirements:
Applicant should have:
Bachelor’s Degree from a recognised University
Diploma in Insurance- CII/DIIK at least 5 papers
At least 5 years’ experience in the insurance claims handling
Good numerical skills
Good knowledge of the insurance industry
Knowledge of regulations related to the insurance industry
If you are qualified and seeking an exciting new challenge, please apply via ke-vacancies@mua.co.ke quoting the Job Reference Number and Position by 13th May 2022. Only shortlisted candidates will be contacted.
Apply via :
ke-vacancies@mua.co.ke
