Job Description
Reports to: Manager – General Claims
Job Summary:
To ensure claims settlements are timely and professionally concluded and always ensuring compliance with the company claims management philosophy as well as the claims procedures manual.
Duties and Responsibilities:
Ensuring prompt registration and acknowledgement of newly reported claims.
Identifying valid claims by careful analysis of supporting documents.
Ensuring that recoveries are pursued aggressively against the negligent third parties.
Thoroughly review each claims report and recommend settlement in line with policy liability and circumstances of loss.
Ensure prompt processing for settlement on all fully documented and concluded claims and seek approval for payment within the agreed timeframes and approval levels
Consult and advice continuously on all issues regarding claims management keeping the claims manager updated on all technical, professional and industry developments.
Continuously formulate, review all claims processes and procedures ensuring compliance to the established set standards as contained in the claims operational manual.
Monitoring overall costs of claims department and ensure that service providers are appointed only where necessary.
Monitoring performance of service providers to ensure timely submission of reports without compromising on quality.
Facilitating and maintaining cordial relationships with our service providers, brokers and prospective clients.
Ensuring timely submission of Claims Reports by claims adjusters and analyze reports and take appropriate action.
Appointing service providers and follow up reports from the providers as per the SLAs
Notifying Underwriting Department on any critical matters that become apparent at the claims stage.
Liaising with other departments and branches.
Job Holders Specifications:
Education / Qualifications:
IIK or its equivalents University Degree is an added advantage
Experience:
Minimum 5-year experience in non-motor claims
