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 train new staff on work procedures and company policies to ensure effective client service
- Participating in and contributing in meetings, discussions and consultations with other team members to ensure that all hindrances to job performance are addressed in good
ACADEMIC QUALIFICATIONS
- Bachelor’s degree in relevant field
JOB SKILLS AND REQUIREMENTS
- TeamPlayer
- NegotiationSkills
- InterpersonalSkills
- InterpersonalandCommunicationskills
- Integrity
PROFESSIONAL QUALIFICATIONS
- ACII/AIIK
EXPERIENCE
- At least 4 years relevant experience in Insurance