Job Description
Register and analyse intimated claims and advise client on supporting claims documents;
Appoint service providers where applicable;
Analyze adjuster/ Investigators claim reports to recommend settlement/ approve/ admit;
Process fully documented claims and referring any suspicious claims to the supervisor;
Initiate reinsurance and third party recoveries (written demand letters);
Review claims reserves on a continuous basis in view of new developments and to close files where all payments have been made;
Process all service providers invoices and payment within the set standards;
Issue discharge vouchers for all fully documented claims;
Attend to customer queries and complaints promptly and professionally;
Communicate risk improvement measures to the underwriter to take appropriate action;
Follow up on claims payments and
Prepare various claims analysis reports for clients and management consumption.
Qualifications
Diploma in business or Insurance or in a relevant field / Relevant technical training certificate
Part qualification in relevant professional field in IIK or ACII
Up to two (2) years’ relevant experience
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
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