Ref: TAS/HR/AM/1698/2016
The position holder will be reporting to the head of Legal & Claims.
Profile: This is very much a ‘hands on position’ where the holder will be expected to have good understanding of insurance operations.
Role Purpose: Deputise the Head of Legal & Claims, oversee investigations of claims and coordinate processing and payment of the same.
Key Responsibilities:
Ensure in-depth, investigation of actual claims through direct or indirect contact with policyholders, claimants, other carriers, physicians, contractors, attorneys, etc.
Ensure applicable claims are reported accurately and timely to reinsurance as required by procedure.
Recommend for approval appropriate reserves on files within the set guidelines and monitor the utilization of the distributed reserve.
Control and direct activities of defense counsel, directly or indirectly through staff.
Coordinate efforts among staff and other parties to achieve timely, equitable disposition of claims handled in the Claims Department.
Review, monitor and provide technical expertise of staff and ensure that there is systematic adequate on job training
Monitor benchmarks and have working knowledge of Expense and Payment controls, Large Losses, Staffing and Performance Management.
Academic Qualifications
Bachelors’ degree in Insurance, Business Management or Accounting
Professional Qualifications
Diploma In Insurance, ACCA/CPA K
Experience
4 years’ working experience in a claims department preferably in an insurance organization with a good understanding of insurance operations.
Skills and Competencies
Leadership skills.
Strategic and analytical skills.
Report writing and presentation skills.
Planning and organization skills.
Ability to drive change and innovation.
Ability to work under pressure.
