Summary
Date Posted: Tuesday, August 09, 2022 , Base Salary: Not Disclosed

JOB DETAILS:
Purpose For The Job
• Working under the supervisor of the Senior Account Manager, the position holder will manage the insurance claim process for all general insurance claims in Motor, property, liability, and workman compensation at both personal and commercial lines.

Duties and Responsibilities:
Managing the Client Claims Experience
• Communicate with the client and internal insurance stakeholders
• Research the stipulations of the insurance policy
• Processing insurance claims,
• Reviewing insurance coverage, and
• Analyzing claims cases
• Negotiating claims settlements

Steward of the Claim cycle
• Guide and advise the client through the entire Adjudication and Claims Process
• Advocate, represent, and champion the client’s interest in the claims submitted to the insurer(s), considering the policy wording, insurance industry procedures, and evidence in the documentation provided
• Responsible for reviewing and analyzing client claims, applications and adjustments and determining whether a client is covered under their insurance policy and that the claim has been properly adjudicated and processed within reasonable timelines.

Support Claims Department Operations to ensure
• Properly handling and storing claims documents and client information received during claim processing. This shall happen for both the physical and electronic document filing and physical files
• All claims information and data are correctly captured in the Core Claims System
• Adhere to Departmental Processes to ensure efficiencies in Claims
• Diary Management, Workflow tasks, and Issues escalations
• Preparation of Claims Reporting for management purposes with a focus on client portfolio performance and Claims Trends
• Proper management and prompt resolution of Complaints emanating during and out of the claims handling and processing and that no client shall be lost on account of having received a poor claims experience

Key Result Areas:
The accountability areas are as follows;
• Claims closure rate of 115% (closed/new) for the year
• Claims life cycle lead time of 30-60 days (simple claims and 90 - 180 days (large or complex claims)
• Real-time claims Information
• Customer Satisfaction Index of 85% and net promoter score of 60%

Knowledge and Skills Required:
The job holder must possess the following:-
• Negotiation skill
• Proficiency and knowledge of all insurance products claims handling processes on all general Insurance products, including litigated matters (history of having worked or is currently working in a busy Insurance Claims Department will be an added advantage)
• The person shall be timeline oriented and be able to meet strict claims turnaround times and deadlines
• Attention to Detail
• Knowledge about Insurance Industry in general, various insurance products and the Claims practice in particular
• The Person shall have specialized in General Insurance
• Claims with an experience of at least 7 years
• Excellent computer skills

Academic and Professional Qualifications:
• Bachelor’s Degree from a recognized University (in a business Engineering/Legal Studies -related course)
• A post-graduate Insurance Diploma (AIIK; ACII) and or Associate of the Chartered Institute of Loss Adjusters (ACILA) with passed papers in Advanced Insurance Claims& Insurance Law

Closing: Friday, 12, Aug, 2022

Education Requirement: No Requirements

Job Experience: No Requirements

Work Hours: 8

Job application procedure
• Interested and qualified? Click here to apply

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