The Claims Analyst will be part of the Claims team and will report to the Customer Experience Manager, Claims. They will be responsible for servicing Individual Life and Group Life claims at PLAK through timely and accurate completion of all service-related tasks

Principal Accountabilities

To provide efficient handling of monthly Individual Life and Group Life claims within 2 working days of receipt of claim documentation

To settle at least 90% of all claims in the month they are due

To prepare and maintain accurate data records and claims register for Group Life claims in order to ensure accurate and timely submission of required data.

Propose any changes to the claims process to address risks identified and improve processes

To contact policyholders on daily, weekly and monthly basis to ensure outstanding claims are maintained at a minimum.

To adhere to all policies and procedures related to processing of claims

To maintain accuracy, productivity goals and observe regulatory requirements in relation to claims processing and settlement

Maintain excellent communication skills, with the ability to work well with others.

Core Competences and Skills Required

Demonstrated ease in exercising initiative, good judgment, good problem solving, and decision making.

Written, verbal, interpersonal & communication skills and capacity to build and maintain good long-term relationships with stakeholders and partners.

Excellent customer service and organizational skills.

Ability to analyze information with a keen eye to detail and report with utmost accuracy and attention.

Must possess a strong service orientation and be able to maintain professional composure when dealing with confrontation or complaints.

Above board levels of honesty, integrity and confidentiality.

Qualifications and Experience

Bachelor of Commerce, Business Administration, Economics or other relevant degree from a recognized university.

Experience in the Operations function in the Insurance is an added advantage

Computer literacy: MS Office Applications