Position Summary:
The successful candidate will be responsible for strengthening the organisation effectiveness in claim processing, supervision of claims vetting and audit to ensure all claims paid are according to the company policy and guidelines and and to ensure the successful conduct of legal cases by and against the company.
Key Deliverables:
Review, Develop and Implement the Company’s Claim Policy
Ensure smooth running of the entire claims department comprising of non-legal & legal, claims
Maintenance of the overall claims handling systems
Verify and analyze claims documents to ensure settlements in accordance with the underwriting policies, company practices and procedures
Allocation of reserves and subsequent review to ensure adequacy
Pursues recovery of claims outlay from culpable third parties
Maintain detailed records on all claims reported, investigate, and deduce trends and recommend risk containment measures
Monitor internal and external service level stands and ensure compliance
Attend court to represent the Company as a witness or any other capacity as may be approved by the Company
Scrutinize of all claims documents to certify the completeness and correctness
Ensure necessary approvals are done within the service level agreement
Safeguard the company’s interests and reputation in claims handling procedures
Preparation of internal and external monthly, periodical reports and other management reports as required
Preparation of board documents
Resolve complaints/disagreements with suppliers and partners amicably to maintain a good working relationship
Managing staff/staffing matters within the Department
Ensure knowledge management and build capacity for vetting and processing of claims within the department
Any other duties as may be assigned from time to time
Requirements:
Applicant should have:
B com degree, Management, Finance or related field
Bachelor’s law degree
ACII, AIIK or other insurance related professional qualification
At least 10 years experience in the insurance sector
An MBA shall be an added advantage
Ability to deal with both legal and non-legal insurance claims
Other Skills
Excellent communication and interpersonal skills
Negotiation skills
Ability to respond effectively to unexpected or changing circumstances
Ability to prepare clear and detailed reports to facilitate decision making process
Analytical and problem-solving skills
Ability to manage and coach a team
Personal Attributes
Good Customer service skills.
High degree of professionalism and integrity
Ability to maintain a high level of accuracy in preparing and entering information
Responsible and flexible
Interested and qualified candidates should forward their CV to: ke-vacancies@mua.co.ke using the position as subject of email.
Apply via :
ke-vacancies@mua.co.ke
