KEY PRIMARY RESPONSIBILITIES

• Assessing, registering corporate claims, acknowledging and making recommendations or approvals in line with the Authorization framework & Service Levels Agreements (SLA’s).
• Following up with finance on all claims settled for quick disbursement of claims funds.
• Reviewing claims documents & reports and making suitable recommendations.
• Communicating claims decisions to clients and Brokers as per the TAT’s.
• Reviewing claims outstanding, engaging clients and Brokers on outstanding claims documents.
• Attending to clients/Brokers by ensuring their claims issues/concerns are addressed within turnaround time (TAT’s) and SLA’s in place.
• Performing monthly reconciliation and sign off with Finance on settled claims.
• Strict adherence to customer charter, compliance issues by working and collaborating with Customer service teams, Risk, Audit, AKI and the Regulators.
• Monitoring & maintaining accurate records and up to date claims records both physical and in LMS
• Safekeeping and proper use of all company documents, records and moveable assets assigned to the Team.
• Preparing and providing monthly claim reports on claims reported, settled, declined and closed
• Registering and resolving customer’s complaints within the timelines provided

GENERIC DUTIES

• Participating in company CSR and brand building activities in liaison with other departments.
• Attending to all internal and external trainings as advised.
• Attending Operation activities as advised from time to time.

ACADEMIC QUALIFICATIONS

Bachelor degree in Insurance/Actuarial Science or an equivalent.

JOB SKILLS AND REQUIREMENTS

• Collaboration skills
• Negotiation Skills
• Time management skills
• Interpersonal skills
• Communication skills( both written and spoken)

PROFESSIONAL QUALIFICATIONS

Completion of, or good progress towards, the CII/IIK Diploma (with at least four (4) Diploma papers passed) will be an added advantage.

EXPERIENCE

At least 2 years’ relevant experience.

• Assessing, registering corporate claims, acknowledging and making recommendations or approvals in line with the Authorization framework & Service Levels Agreements (SLA’s).
• Following up with finance on all claims settled for quick disbursement of claims funds.
• Reviewing claims documents & reports and making suitable recommendations.
• Communicating claims decisions to clients and Brokers as per the TAT’s.
• Reviewing claims outstanding, engaging clients and Brokers on outstanding claims documents.
• Attending to clients/Brokers by ensuring their claims issues/concerns are addressed within turnaround time (TAT’s) and SLA’s in place.
• Performing monthly reconciliation and sign off with Finance on settled claims.
• Strict adherence to customer charter, compliance issues by working and collaborating with Customer service teams, Risk, Audit, AKI and the Regulators.
• Monitoring & maintaining accurate records and up to date claims records both physical and in LMS
• Safekeeping and proper use of all company documents, records and moveable assets assigned to the Team.
• Preparing and providing monthly claim reports on claims reported, settled, declined and closed
• Registering and resolving customer’s complaints within the timelines provided
• Participating in company CSR and brand building activities in liaison with other departments.
• Attending to all internal and external trainings as advised.
• Attending Operation activities as advised from time to time.

• Collaboration skills
• Negotiation Skills
• Time management skills
• Interpersonal skills
• Communication skills( both written and spoken)

• Bachelor degree in Insurance/Actuarial Science or an equivalent.
• Completion of, or good progress towards, the CII/IIK Diploma (with at least four (4) Diploma papers passed) will be an added advantage.