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Home Jobs Nairobi Claims Resolution Specialist – GIB

Claims Resolution Specialist – GIB

Madison Group Limited  · Banking / Financial Services

Full Time Nairobi
Nairobi
Deadline: 19 June 2026
Posted June 16, 2026

Overarching Accountability: The role encompasses a broad spectrum of duties focused on achieving key organizational objectives and ensuring operational excellence. Responsibilities include overseeing critical processes, managing team performance, and driving strategic initiatives to enhance productivity and efficiency. The ideal candidate will demonstrate strong leadership, problem-solving capabilities, and the ability to align day-to-day operations with long-term business goals.

The successful candidate will oversee the processing and administration of insurance claims, guaranteeing precise and efficient resolutions in adherence to established company policies and protocols. This encompasses assessing claims, conducting thorough investigations into incidents, liaising with relevant stakeholders, and overseeing every stage of the claims process—from initial notification to ultimate settlement. Additionally, the role will ensure the fulfillment of all commitments and obligations associated with risks assumed by the company on behalf of its clients. The position will also identify and mitigate fraudulent claims to reduce associated costs and maintain optimal loss ratios.

Key Accountabilities: Overseeing core operational duties, this role encompasses a spectrum of critical tasks including strategic planning, project execution, and cross-functional collaboration to drive organizational objectives. Responsibilities entail analyzing performance metrics, identifying areas for enhancement, and implementing data-driven solutions to optimize efficiency and productivity. Additionally, the position requires fostering a culture of accountability, ensuring compliance with industry regulations, and maintaining robust stakeholder relationships.

Responsible for the initial establishment of reserves for newly reported claims.

Evaluate claims to determine coverage eligibility in accordance with policy guidelines.

Provide guidance on resolving claims through suitable settlement approaches.

Communicate acceptance decisions to clients, detailing the allocation of claims in a clear and comprehensive manner.

Analyzing and validating service provider reports and recommendations, we draft authorization letters for garages and issue courtesy car notifications.

Professional Rewriting:

The role involves appointing loss adjusters and investigators to examine and assess suspicious claims while adhering to established deadlines.

Preparation and issuance of discharge vouchers for approved offers, along with the drafting of formal offer letters, are required responsibilities.

Responsibilities include auditing claims payment vouchers for accuracy, processing and dispatching approved payments, and conducting post-payment file reviews to ensure compliance and completeness.

Ensure prompt handling of all inquiries and payments to maintain efficient operations and enhance customer satisfaction.

Manage and execute payments to service providers in a timely and accurate manner.

We specialize in recovering third-party liabilities, ensuring overdue receivables are collected efficiently and professionally. This role requires prior experience in debt recovery or a related financial field, along with strong interpersonal and negotiation skills to interact with debtors and stakeholders. Responsibilities include conducting thorough investigations to locate debtors, maintaining accurate records of recovery activities, and adhering to legal and ethical guidelines throughout the process. Proficiency in relevant software and tools is essential, as is the ability to meet performance targets while maintaining high levels of accuracy and compliance.

Proven expertise in relevant technical and soft skills is essential for this role, including strong analytical abilities, effective communication, and meticulous attention to detail. A minimum of five years of hands-on experience in a related field is typically required, along with proficiency in industry-standard software and tools. Candidates must demonstrate the capacity to work collaboratively within cross-functional teams, manage multiple priorities efficiently, and adapt to evolving project demands. Additionally, familiarity with compliance standards, data analysis methodologies, and strategic planning processes is highly advantageous. Exceptional problem-solving skills and a commitment to continuous professional development are critical for long-term success in this position.

Proven ability to communicate effectively and build strong interpersonal relationships is essential.

Accomplishes tasks efficiently through meticulous planning and strong organizational abilities.

Thrives in high-pressure environments and maintains composure under tight deadlines.

Proven ability to analyze complex situations, identify root causes, and implement effective solutions; strong capacity to evaluate alternatives and make timely, well-informed decisions under pressure.

Proficient in understanding and adhering to the industry’s governing standards, guidelines, and legal requirements.

Driven by results and a strong commitment to customer satisfaction, the ideal candidate will demonstrate a proactive approach to achieving objectives while maintaining a relentless focus on delivering exceptional service.

Proficiency in the insurance sector, with a focus on their specific domain—whether fire, life, accident, or marine insurance—is essential.

Possesses a solid grasp of pertinent legal regulations and compliance requirements applicable to the role.

Seeking a candidate with a strong background in the specified field, including pertinent education and hands-on experience. Ideal applicants must possess relevant qualifications and demonstrated expertise to effectively perform job duties. Primary responsibilities involve applying specialized skills and industry knowledge to achieve organizational objectives. The role demands proficiency in key areas and the ability to adapt to dynamic work environments. Additionally, the position requires adherence to professional standards and continuous professional development to stay current with evolving industry trends.

A minimum of one year’s experience in claims handling is required, with underwriting experience being an additional benefit.

Academic and Professional Qualifications Required

A minimum of a bachelor’s degree in a relevant field is mandatory for this position. Applicants must possess a combination of education and experience that aligns with the job’s requirements, typically including specialized training or certifications pertinent to the role. Professional qualifications, such as relevant work experience in a similar capacity, are also necessary to ensure the successful execution of duties.

Hold an academic degree in Actuarial Science, Statistics, or a closely related business discipline.

A diploma in Insurance from the INK or an equivalent program currently in progress serves as a foundational requirement for this role.

Applications must be submitted to the Group Human Resources Manager at Madison Group Limited via email at hr_recruitment@madison.co.ke no later than Friday, June 19, 2026.

Qualifications

BA/BSc/HND , Diploma

Experience Required

1 year

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