PURPOSE:

To achieve customer satisfaction through efficient and prompt claims settlement.

PRIMARY RESPONSIBILITIES:

• 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.

 Academic and Professional Requirements

Education 

• Bachelor’s degree in Business or in a related field
• Computer literate in MS Office and other office applications
• Part qualification in relevant professional field in IIK or ACII

Experience Required: Relevant experience    2