Assistant Claims Officer – (2600001D)
Job Purpose:
The role holder will be responsible for the processing and payment of general insurance claims.
Key responsibilities
- 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 for non-motor.
- Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.
- Respond to both internal and external claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms.
- Track and follow up on receipt of necessary claim supporting documents.
- Delegated Authority: As per the approved Delegated Authority Matrix as per SODA.
- Process payments to insured’s and service providers as per SLA.
- Maintain adequate initial reserves as per reserve guidelines and participate in the monthly, quarterly and annual reserves reviews.
- Ensure that claims, appointment and payments are processed within the set TATs and claim files duly updated.
- Ensure that initial demand letter is prepared, sent out on all recovery matters and the recovery register updated.
- Prompt settlement of invoices and negotiation with service providers to realize Savings as per set targets.
- Record and update all required registers or company data across all necessary system.
- Initiate and pursue recovery under motor, XOL, FacRe or any other recovery.
- Adhere to claims manual procedures and processes.
- Perform any other duties as may be assigned from time to time.
Knowledge, experience and qualifications required
- Bachelors of degree or commerce (insurance option preferred).
- Progress in professional qualification in Insurance (ACII, FLMI or AIIK).
- 2-3 years’ experience in insurance claims processing.
- Knowledge and experience in the insurance sector.