Job Summary
The role holder will be
responsible for processing and payment of general insurance claims in
accordance with the set standards and guidelines.
Key Responsibilities
Process
claims accurately and in a timely fashion as per customer charter and agreed
Service Level Agreements
Review
documents and pertinent requirements regarding an insurance claim to establish
liability.
Ensure
that the insurance claim made by the claimant is complete in form and complies
with the documentary requirements of an insurance claim.
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.
Record all claims transactions in the system.
Track
and follow up on receipt of necessary forms.
Capture
and maintain accurate data to ensure data integrity.
Prepare
weekly, monthly and quarterly reports and any other ad hoc reports as may be
required by management.
Issue
release letters
Issue
authority letters for windscreen fitting and car hire.
Maintain
a diary system for all active files.
Review
files for continuing adequacy of reserves
Handle
routine correspondences.
Maintain
a high level of service to customers at all points of contact such as telephone
calls, emails letters or personal visits.
Prompt
attention to complaints
Appoint
service providers such as assessors, investigators and loss adjusters Issuance
of release letters upon completion of repairs and submission of documents.
Issuance
of discharge vouchers
Proper
adjustment of claims to avoid overpayment.
Cross
check claims information with IMIDS data system for fraud detection
Investigate
claims that appear to be suspicious.
Enforce
SLAs with service providers.
Ensure
policy excess is collected and apply depreciation where applicable.
Settle
payments via EFT to cut down on cheque processing costs.
Qualifications
Bachelor’s
degree in insurance, Economics or other business related discipline
Progress
towards Diploma in Insurance (ACII or AIIK), (at least 3 papers or equivalent)
Experience
2
years’ experience in claims management
Competencies
Understanding
of insurance operations and concepts
Knowledge
of insurance regulatory requirements
Knowledge
of claims procedures
Excellent
organizational and stakeholder management skills
How To Apply
If you meet the above
requirements, you are encouraged to forward your application and updated CV to vacancies@heritage.co.ke by 31st January,2024. Clearly
state the job title on the subject heading. Heritage is an equal opportunity
employer and actively encourages diversity. Please note that only shortlisted
candidates will be contacted.
