Key Duties & Responsibilities
To be the single point of contact for the company on claims and manage the claims resolution process.
Oversee the intake and processing of insurance claims for all classes of business loss based on coverage, appraisal and verifiable damage.
Determining and delegating claims settlement authorization within the company
Provide technical guidance to staff on claim investigation, reserving evaluation and resolution of claims.
Conduct audits of the claims process with a view to improve efficiency and participant experience.
Completes field re-inspections of vendor or employee claims to ensure proper claim handling and compliance with company procedures.
Assists in the coordination of third party service providers in all claims process.
Participates in training and/or mentoring of departmental staff
Develops, analyzes and reports KPI’s useful in measuring team performance as well as the effectiveness of the claim’s operations.
To maintain a verifiable claims register.
Coaching and mentoring Claims team members to improve participant experience and practices for claim’s quality assurance.
Report to CEO on service standards and compliance requirements with IRA
Review complex claims cases with a view to resolve the amicably
Management Responsibilities
To be responsible for the set-up, management, and coordination of the claims department.
Supervise & review performance of the Claims Department and other administrative matters.
To be responsible for the coordination of outsourced specialists.
To report to the CEO and the Board on claims management performance.
Participate in the review SLA agreement with 3rd Party providers.
Key Requirements
Bachelor’s degree in Insurance or any business-related field.
Diploma and Insurance
Professional member – AIIK
Minimum of Six (8) years of work experience
3 years working experience in similar role
Excellent reporting skills.
Attention to detail
Quick execution on new concepts.
Clear, precise, and concise communication.
Commercial awareness
High level of integrity, and ethical standards.
Strong organizational skills
Team management skills
Collaboration Skills.
Analytical Skills.
Interested and qualified candidates should forward their CV to: jobs1@hcsaffiliatesgroup.com using the position as subject of email.
Apply via :
jobs1@hcsaffiliatesgroup.com
