Claims Officer processes insurance claims, verifies documentation, and manages settlements, requires an Insurance/Business/Actuarial Science Degree and 4+ years claims experience.
Key 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 & Attributes
Team
Player
Negotiation
Skills
Interpersonal
Skills
Interpersonal
and Communication skills
Integrity
Professional Qualifications
ACII/AIIK
Experience
At least
4 years relevant experience in Insurance
