Job Summary
To support the Claims Manager in the claims Business by providing operational support in the Claims Department processes. To process and settle insurance claims in a fast, fair and courteous manner to ensure customer satisfaction, company profitability and good corporate image
Key Accountabilities
Accountability: Operational Process Support
Acknowledging new claims and calling for requisite supporting documents/items
Registering new claims
Ensure that all claims reported are registered in line with the company procedures and reserved accordingly; and also ensure that reserves are periodically reviewed.
Ensure that the allocated claims processes are performed within the time frames as agreed with clients, brokers and other departments to ensure service delivery.
Ensure that service providers fee notes, invoices and Discharge vouchers are settled within the set TATs
Assist and manage queries escalated by staff, brokers, clients or service providers to ensure timeous resolution.
Liaise and visit brokers to build relationships
Assist in the salvages disposal process.
Ensure that all the cost containment strategies in claims department are adhered to.
Collaborate with underwriting department on areas or actions that may minimize a loss or if action is recommended post a loss due to the risk.
Escalate poor performing accounts to Head of claims for management
Instructing loss assessors and investigators
Examining loss assessment reports and recommending settlement or repudiation
Confirming client’s premium payment status
Preparing claim settlement offers and discharge vouchers
Communicating Risk improvement measures to Underwriting Department
Preparing claim payment vouchers for clients and service providers & credit notes
Writing cheque forwarding letters and sending them to the dispatch desk
Preparing debits for excess and recoveries
Writing demand letters
Revising reserves
Handling facultative recoveries and payments
Compiling monthly and annual reports for the IRA and other interested parties
Responding to letters and forwarding them to dispatch desk for distribution to clients, intermediaries, service providers and third parties
Approving claims settlement within agreed limits (signing authority)
Attending to walk in clients and via telephone
Role / Person
Specification
Education and Experience Required:
Bachelor of Commerce (Insurance Option) degree, or a related business degree, from a reputable university.
At least 3-5 years’ experience in a busy underwriting or claims department
Professional qualifications
At least 3 papers and good progress in
CII Diploma in Insurance (UK)
IIK Diploma in Insurance (Kenya)
Knowledge & Skills:
High level of PC literacy (MS Office, Outlook)
Knowledge of basic financial/accounting concepts
Excel intermediate
Basic accounting knowledge
Negotiation skills
Organizational skills
Competencies: (Maximum of 8 competencies)
Personal and Interpersonal skills
Reporting writing
Decision making skills
Relationship and networking skills
Persuading and Influencing skills
Analytical skills
Ability to work under pressure
Change management skills
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