PURPOSE:

Responsible for effectively handling claims and settling them within stipulated timelines.

PRIMARY RESPONSIBILITIES:

• Register and analyse intimated claims and advise client on supporting claims documents;
• Appoint service providers where applicable;
• Analyse adjuster/ Investigators claim reports to recommend settlement/ approve/ admit;
• Process fully documented claims and referring any suspicious claims to the supervisor;
• Initiate 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;
• Follow up on claims payments

Academic and Professional Requirements

Education 

•  Bachelor’s Degree in a relevant field, Computer literate in MS Office and other office applications
• Part qualification in relevant professional field -Diploma in Insurance, ACCI/AIIK will be an added advantage.

Experience Required: 

• Relevant experience    1