PURPOSE
To efficiently handle all claims and ensure settlement is done within stipulated timelines within the set standards.
Primary Responsibilities
Review and analyse all processed claims within specified limits and timelines
Approve and/or repudiate processed claims within specified limits;
Set and review claims reserves in view of any new information received;
Communicate risk improvement measures for implementation to the underwriting department by monitoring claims experience trends;
Appoint service providers in a timely manner;
Attend to customers and handle queries and complaints as they arise;
Prepare monthly reinsurance recovery report and document claims for reinsurance recovery;
Compile monthly claims reports to Insurance Regulatory Authority and
Organize and present appeal cases for ex-gratia consideration
GENERIC DUTIES
Carry out performance appraisal, coaching and mentoring staff;
Resource allocation, staffing and leave approval;
Participate in planning and budgeting for the department; and
Participate in various meeting and committees
PERSON SPECIFICATION
Academic Qualifications
Bachelors’ degree in Insurance, Business Administration or Economics or in related field.
Professional Qualifications
IIK/ CII Diploma required
Experience
Minimum of four (4) years’ relevant experience
Skills and Attributes
Excellent communication and presentation skills
Problem solving skills
Excellent interpersonal skills
Good analytical skills
Computer literate in MS Office and other office applications
Understanding of the working environment /competitors
Technical competence in insurance
Basic knowledge of regulations by AKI and IRA
Apply via :
cic.co.ke
