Claims Officer

KEY PRIMARY RESPONSIBILITIES

• Providing advice on making a claim and the processes involved
• Processing new insurance claims notifications
• Collecting accurate information and documents to proceed with a claim
• Analyzing a claim made by a policymaker
• Contacting service providers, a network of approved professionals and arranging for them to make repairs on the policyholder's property
• Monitoring the progress of a claim
• Investigating potentially fraudulent claims
• Identifying reasons why full payment may not be made
• Ensuring fair settlement of a valid claim
• Building relationships with loss adjusters, forensic accountants and solicitors, as well as other legal/claims professionals
• Ensuring the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines
• Handling any complaints associated with a claim
• Initiating legal recovery of monies paid out
• Maintaining good broker relations
• Keeping cost at a bare minimum
• Adhering to legal requirements, industry regulations and customer quality standards set by the company.
• Ensuring premiums are settled prior to claim processing.
• Liaising with the underwriting department for policy terms and endorsements.
• Advising on loss making/non performing brokers.
• Ensuring that all enquiries by clients and or stakeholders are responded to promptly and appropriately.
• Ensuring that discharge vouchers are dispatched and settled as per the guidelines.
• Ensuring that records in respect of claims processed are available and maintained correctly for effectiveness in responding to policyholders’ queries.
• Regular briefing to the departmental manager and making consultations.
• Entering claims data to the system
• Assisting and training new staff on work procedures and company policies to ensure effective client service
• Participating and contributing in meetings, discussions and consultations with other team members to ensure that all hindrances to job performance are addressed in good time.

ACADEMIC QUALIFICATIONS

• Bachelor’s degree in relevant field

SKILLS AND ATTRIBUTES

• Team Player
• Negotiation Skills
• Interpersonal Skills
• Interpersonal and Communication skills
• Integrity

PROFESSIONAL QUALIFICATIONS

• ACII/AIIK

KNOWLEDGE AND EXPERIENCE

• At least 4 years relevant experience in Insurance