Job Purpose:
Overall Underwriting and Claims strategy and ensuring all underwriting operations are in compliance with the Company and regulatory requirements. Claims management and ensuring all claims operations follow the Company and regulatory requirements.
Key Responsibilities:
Daily reporting on claims (Motor, Non-Motor) claims (Age, Underwriters, Progress), SLA non-compliance
Ensure daily back office follow up on claims outstanding and report to team.
Maintain and monitor underwriter claims SLA tracker.
Develop and maintain all claims checklists/ requirements, communication to all relevant teams through circulars, branch training, e-shots etc
Ensure all claims are updated in the Insurance processing system (TQ)
Closure of all ECRMS claims tickets.
Claims process documentation.
Claims process SLA development with partner organizations and teams.
Escalations on static claims within timelines and schedule underwriter engagements
Preparation of combined claims reports on daily, weekly, monthly and quarterly reporting.
Job Requirements:
University degree in preferably a Business / Sales & Marketing related course
Professional Qualifications (ACII/IIK); Diploma or above will be an added advantage
Post graduate Diploma in Marketing or Sales will be an added advantage
At least 4 years’ experience in Insurance Claims Administration.
Results oriented and self-driven with a proven performance track record
Comprehensive knowledge of General and Medical insurance products
Good planning, organization, and reporting skills with the ability to deliver effectively under strict deadlines
Ability to understand the impact of operational initiatives from a sales/marketing perspective
Excellent communication, presentation and customer service skills
Proficiency in the use of MS Office software applications
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