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

JOB DETAILS:
Purpose For The Job
• Working under the supervision of the Head of Claims, a Senior Claims Manager will be a problem solver and is expected to help in creating a conducive environment to deliver an excellent claims experience for better overall client satisfaction.
• The person will be involved in handling simple to complex insurance problems in all general insurance classes (other than healthcare & medical) including motor, property, liability, legal, and workman compensation at both personal and commercial lines.

Duties and Responsibilities:
Managing the Client Claims Experience
• Engage, communicate, and manage relationships (client, insurer, claims value-chain partners)
• Offer Claim advice to clients, do claims research, craft, and draft appropriate professional and technical responses to claims issues raised by insurer(s)
• Give the client a competent opinion based on sufficient knowledge of the relevant facts, adequate consideration of the applicable insurance policy, and the claims expert’s own experience and expertise.
• Inform the client as to the policy coverage, exclusions, terms, and conditions that are applicable to their claimed loss and loss circumstances; including the rights, obligations, complaint handling, and dispute resolution mechanism as provided for in the policy.

Manage the Claim cycle
• Guide and advise the client through the entire Adjudication and Claims Processes
• Advocate, represent and champion 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 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.
• Manage the Insurer service delivery and claims performance
• Liaison and Management of all Claims Value-Chain Service Partners.

Support Claims Department Operations to ensure
• Proper handling and storage of claims documents and client information received during claim shall happen for both the physical and electronic document filing and physical files
• All claims information and data is properly core claims system.
• Implement, ensure adherence, and carry out continuous review and documentation of company ISO and 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 insurer performance, client performance, staff productivity and policy claims trends.
• Proper management and prompt resolution of complaints emanating during the and out of the claims handling and processing and that no client shall be lost on account of having received a poor claims experience.
• Liaison with the business development and production/retention departments

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%

Key Competencies:
The job holder must possess competencies and attributes in the following areas:-
• Experience in general Insurance claims of at least 10 years (of which 3years in a similar position) with experience and knowledge of claims handling from all
• general Insurance products, including litigated matters (Experience in a busy Claims Department will be an added advantage)
• Strong Negotiation and Interpersonal Skills and MUST be able to show empathy at all times when handling and dealing with clients
• Ability to interpret insurance contracts and to provide informed advisory and professional opinions to clients and management
• Attention to Detail and Being able to do repeated review and analysis of claim information
• Knowledge about Insurance Industry in general, various insurance products and the Claims practice in particular
• Strong managerial ability and management skills.
• Must be geared towards operational and business excellence.

Knowledge and Skills Required:
The job holder must possess the following:-
• Excellent communicator in both verbal and written English language
• Self-driven and above to work without supervision
• Team player/Team leadership ability
• Excellent computer skills

Academic and Professional Qualifications:
• Bachelor’s Degree from a recognized University (in a business- related/Engineering 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: Wednesday, 10, Aug, 2022

Education Requirement: No Requirements

Job Experience: No Requirements

Work Hours: 8

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

All Jobs

QUICK ALERT SUBSCRIPTION