PURPOSE OF THE ROLE
Reporting to the Claims Manager – General Business, the Assistant Claims Manager will provide functional, technical and process support to the leadership of the department. In addition he/she will be responsible for the development of departmental staff so as to ensure a competent team.
PRIMARY
Duties & Responsibilities
Assist in the formulation, implementation and monitoring of short and long term objectives, policies and operating procedures for the department in accordance with industry standards to ensure the department remains competitive in the industry
Provide expertise and general claims support to the claims team in reviewing, researching, investigating, negotiating, processing and reviewing coverage
Prepare periodical claims reports, weekly claims statistics and other ad hoc reports as may be required from time to time
Analyze performance of service providers within set service standards and make appropriate recommendations and follow up implementation as necessary
Liaise with Underwriting and Legal Departments on claims matters, trends and technical policy interpretation
Ensure that all claims are processed within the scope of cover provided at the underwriting level and that all payable claims are settled promptly and service providers paid on time.
Assist in identifying the training needs of the claims staff in the department and ensure that they are mentored, trained and empowered so as to meet the company goals and objectives
Supervise all claims recovery processes ensure that recoveries are made on time and at minimal costs
Qualifications and Experience
Bachelor’s degree in insurance or its equivalent
Diploma in Insurance (AIIK or CII) required
At least 8 years’ experience in claims management, with three (3) years at a supervisory /Asst. Manager level.
Required skills and Competencies
Strong Leadership and organizational skills
Broad knowledge of Kenya and international insurance claims laws
Demonstrable ability to build business-to-business relationships
Superior analytical and problem solving skills.
Ability to interface effectively and work harmoniously with all staff levels
Ability to apply correct judgement in claims decisions
