Background information about the job or company (e.g., role context, company overview)

Britam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the Eastern and Southern Africa region, with operations in Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique and Malawi. The group offers a wide range of financial products and services in Insurance, Asset management, Ban...

Responsibilities or duties

Review documents and pertinent requirements regarding an insurance claim.

Ensure that the insurance claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim.

Advice customers regarding basic matters about their insurance coverage in relation to the insurance claim.

Respond to both internal and external claims inquiries concerning benefits, claims processes, service providers, and the filing/completion of proper forms.

Record all claims transactions including appointment of advocates, doctors and investigators.

Ensure that matters allocated are constantly tracked and updated in the registers.

Update legal claims registers for claims meetings and update the various claims reports.

Track and follow up on appeal deposits.

Assist in giving advice on legal issues, compile comprehensive file notes both in the event of judgments and out of court matters.

Assist in the review of reserves as per the reserving guidelines.

Assist in managing external Advocates on Britam Panel of Advocates through pro-active interaction and correspondences.

Review advocates legal costs to ensure that the same are within the SLA and Advocates Remuneration Order.

Review status updates as received by advocates in an effort to keep abreast with all ongoing briefs and advice maintain adequate reserves based on the established reserving guidelines. and documentation received from the panel advocates.

Process payments to insured’s and service providers.

Assist on Third party recoveries when called upon to do so.

Perform any other duties as may be assigned from time to time.

Qualifications or requirements (e.g., education, skills)

Bachelors of degree in LAW LLB and PDG from KSL.

Obtain the relevant CLE points in every given year.

Experience needed

6-9 years’ experience in insurance claims processing.

Knowledge and experience in the insurance sector.

CPA or AIIK or ACII and added advantage.

Any other provided details (e.g., benefits, work environment, team info, or additional notes)

Technical / Functional Competencies:

• Insurance Claims Management
• Legal Claims & Litigation Management
• Insurance Law & Regulatory Compliance
• Policy Interpretation & Coverage Analysis
• Claims Liability Assessment & Reserving
• Legal Costs & Panel Advocate Management
• Claims Recoveries, Subrogation & Settlements
• Claims Reporting, Analysis & Systems Management

• Review documents and pertinent requirements regarding an insurance claim.
• Ensure that the insurance claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim.
• Advice customers regarding basic matters about their insurance coverage in relation to the insurance claim.
• Respond to both internal and external claims inquiries concerning benefits, claims processes, service providers, and the filing/completion of proper forms.
• Record all claims transactions including appointment of advocates, doctors and investigators.
• Ensure that matters allocated are constantly tracked and updated in the registers.
• Update legal claims registers for claims meetings and update the various claims reports.
• Track and follow up on appeal deposits.
• Assist in giving advice on legal issues, compile comprehensive file notes both in the event of judgments and out of court matters.
• Assist in the review of reserves as per the reserving guidelines.
• Assist in managing external Advocates on Britam Panel of Advocates through pro-active interaction and correspondences.
• Review advocates legal costs to ensure that the same are within the SLA and Advocates Remuneration Order.
• Review status updates as received by advocates in an effort to keep abreast with all ongoing briefs and advice maintain adequate reserves based on the established reserving guidelines. and documentation received from the panel advocates.
• Process payments to insured’s and service providers.
• Assist on Third party recoveries when called upon to do so.
• Perform any other duties as may be assigned from time to time.

• Insurance Claims Management
• Legal Claims & Litigation Management
• Insurance Law & Regulatory Compliance
• Policy Interpretation & Coverage Analysis
• Claims Liability Assessment & Reserving
• Legal Costs & Panel Advocate Management
• Claims Recoveries, Subrogation & Settlements
• Claims Reporting, Analysis & Systems Management

• Bachelors of degree in LAW LLB and PDG from KSL.
• Obtain the relevant CLE points in every given year.
• CPA or AIIK or ACII and added advantage.