Assistant Claims Officer

Job Purpose:     

• The role holder will be responsible for the processing and payment of general insurance claims. 

Key responsibilities 

• Review documents and pertinent requirements regarding an insurance claim. 
• Ensure that the insurance claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim for non-motor. 
• Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.
• Respond to both internal and external claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms. 
• Track and follow up on receipt of necessary claim supporting documents.  
• Delegated Authority:  As per the approved Delegated Authority Matrix as per SODA. 
• Process payments to insured’s and service providers as per SLA. 
• Maintain adequate initial reserves as per reserve guidelines and participate in the monthly, quarterly and annual reserves reviews. 
• Ensure that claims, appointment and payments are processed within the set TATs and claim files duly updated.
• Ensure that initial demand letter is prepared, sent out on all recovery matters and the recovery register updated.
• Prompt settlement of invoices and negotiation with service providers to realize Savings as per set targets. 
• Record and update all required registers or company data across all necessary system.  
• Initiate and pursue recovery under motor, XOL, FacRe or any other recovery.  
• Adhere to claims manual procedures and processes. 
• Perform any other duties as may be assigned from time to time.

Knowledge, experience and qualifications required 

• Bachelors of degree or commerce  (insurance option preferred). 
• Progress in professional qualification in Insurance (ACII, FLMI or AIIK). 
• 2-3 years’ experience in insurance claims processing. 
• Knowledge and experience in the insurance sector.