About the position

This position is responsible for ensuring that non – motor claims settlements are timely and professionally concluded whilst ensuring compliance with the Company claims management philosophy as well as the claims procedures manual.

Main Duties and Responsibilities:

• Prepare initial claim letter and mail to customer, along with requisite information request list and appropriate forms for completion.
• Track and follow up on receipt of necessary forms/documents to facilitate the non-motor claims management process.
• Receive and review documents to ascertain that all information and other pertinent requirements regarding an insurance claim have been submitted to allow for proper determination of claim validity.
• Create awareness among claimants on components of their insurance coverage that are related to the insurance claim and respond to queries related to the claim.
• Respond to non-motor related internal and external claim inquiries regarding benefits, the claims process, service providers, and the filing of requisite documentation.
• Record and monitor progress of all claim transactions. This includes appointment of assessors, adjusters and investigators as may be required.
• Compile, prepare and update non-motor claims registers in line with the Company’s procedures and guidelines.
• Compile and draft non-motor claims reports and recommend appropriate actions informed by the claim assessment findings.
• Liaise with underwriting and finance teams to process payments to the customer and the service providers as per the service level agreements.
• Ensure that claims and payments are processed within the set turnaround time and files duly updated.
• Ensure that recovery documents are submitted to facilitate the process.
• Undertake prompt settlement of invoices and negotiation with service providers to realize savings in line with cost-saving measures and targets.
• Perform any other duties as may be assigned from time to time.

Knowledge, experience and qualifications required

• A Bachelor’s Degree in Commerce, Business Administration, Actuarial Science or a related field.
• Certificate of Proficiency in Insurance
• Professional qualification in AIIK, ACII, or an equivalent professional qualification is an added advantage.
• At least 3- 5 years’ of experience in insurance claims processing.

Technical Competencies

• Proficiency in MS Package
• Knowledge of insurance industry concepts, practices, products and services
• Knowledge of insurance regulatory requirements
• Demonstrated understanding of claims process management
• Good understanding of underwriting procedures
• Be conversant with laws applicable to the industry and the emerging trends
• Basic knowledge of accounting principles, practices and professional standards
• Report writing skills

Behavioral Competencies

• Strong analytical and problem-solving skills
• Results driven and action oriented
• Collaborative team player with demonstrated ability to manage a team through delegation
• Agile mindset with demonstrated ability to manage tasks with competing deadlines
• High level of dependability, accountability and ability to work independently
• Ability to empower colleagues
• Strong attention to detail
• Demonstrated client focus
• String negotiation and persuasion skills