PURPOSE:

The Assistant Manager-Claims Operations will be attached to the legal claims’ unit. He/she will play a pivotal role in managing and overseeing the legal operations within Claims Department. They will ensure adherence to legal claims handling guidelines, co-ordinate communication between the advocates and witnesses/clients and ensure efficient claims resolution.

PRIMARY RESPONSIBILITIES:

• Serve as a liaison between advocates, service providers, claimants and other stakeholders to facilitate effective communication and resolution of cases.
• Coordinate and conduct investigations into third party injury/property damage claims to determine their validity, legality and adherence to policy terms.
• Coordinate with advocates and witnesses to ensure court attendance for all cases coming up for hearing and timely conclusion of matters.
• Periodic review of pending cases and contact insureds, agents and vendors to determine progress and communicate status.
• Review and analyse the correspondences and recommend appropriate actions at the same time, maintain a record of all legal correspondences received within the department.
• Implement quality control measures to minimize errors and claims leakages and ensure compliance with regulatory standards.
• Maintain a register of all active court matters, case development, decision and outcome.
• Ensure accuracy and completeness of legal documentation, reports, and correspondence produced during the claims process.

Academic and Professional Requirements

• Education    Bachelor’s Degree    Degree in Business Administration, Insurance or a related field    E
• Professional Qualification    Diploma in Insurance (IIK or CII)    D

Experience Required:

• Five years Relevant experience