Purpose:
The role will be responsible for the entire claims’ lifecycle, from initial contact with the policyholder to final claim settlement while ensuring adherence to company policies, regulatory requirements In addition, the role will deliver exceptional customer service and ensure efficient claims handling
Primary responsibilities:
Claims Handling
Claim Registration: Collecting initial details from policyholders regarding the incident and registering the claim in the system
Documentation: Gathering necessary documents such as police reports, repair
estimates, and photographs of the damage
Conducting investigations to verify the authenticity of the claim
Processing payments for repairs or total loss settlements and ensuring timely resolution of claims
Coordinating with external experts such as loss adjusters, medical professionals, or legal advisors as needed
Engaging in discussions with claimants, legal representatives, and other stakeholders to reach a fair settlement
Independently manage a portfolio of assigned claims, ensuring timely and efficient resolution
Ensure accurate claim reserving, reflecting the estimated cost of settlement throughout the claim lifecycle
Reinsurance Claims
Timely reinsurance claims recoveries and documentation
Maintaining minimal reconciliation differences through prompt processing of identified reconciliation differences
Notifying reinsurers of cash call claim and following up for timely payments Ensuring that claim allocations are properly captured in the systems General correspondence with reinsurers
Customer Service:
Provide exceptional customer service to policyholders throughout the claims process, keeping them informed of the progress and addressing their concerns promptly
Clearly explain claim procedures, coverage details, and settlement decisions to policyholders
Build positive relationships with policyholders and strive to exceed their expectations Efficiency and Accuracy:
Manage caseload efficiently, meeting deadlines and adhering to established procedures
Maintain accurate and complete claim files, ensuring proper documentation of all communication and decisions
Identify and implement opportunities for process improvement to streamline claims handling
Teamwork and Collaboration:
Work collaboratively with other departments to ensure a smooth claims resolution process
Provide guidance and support to claims officers, fostering a team environment focused on continuous learning
Reporting
Preparing detailed reports on claims activities and outcomes for internal review and external reporting
Person Specifications Academic Qualifications
Bachelor’s degree in business / Insurance or its equivalent from a recognized institution
Professional Qualifications
Diploma in Insurance from AllK/ACII or its equivalent from a recognized institution; and
Member of AllK /ACII or a relevant professional body
Experience
Minimum of six (6) years’ relevant experience
Skills and Attributes
Knowledge of regulations by AKI and IRA
Inter-personal skills (eg presentation and communication skills, organizational skills, teamwork, etc)
Intra-personal skills (eg, self-discipline, enthusiasm, self-motivation, etc) Good problem solving and analytical thinking skills
Strong people-management and team player skills
Results driven, and customer focused
Please submit your detailed curriculum through email address: hrvacancies@sanlam.co.ke by close of business on 2 September 2024 The job title should be clearly indicated as the email reference
Apply via :
hrvacancies@sanlam.co.ke
