Claims Adminstrator

Role Overview

You will be the operational backbone of the corporate claims function, taking charge of every claim from the moment it is registered through to final settlement or declinature. Working closely with finance, brokers, clients, and internal risk teams, you will ensure that each claim is processed accurately, within agreed service levels, and in full compliance with the company's authorization framework. Your judgment and follow-through directly protect the company's reputation and financial integrity, while also determining how quickly policyholders receive the resolutions they are entitled to.

Key Responsibilities

• Validate, register, and assess corporate claims, then approve, recommend, or decline them within the delegated authority matrix and agreed SLA timeframes.
• Coordinate with the finance department on settled claims to accelerate the release of claim funds and eliminate avoidable payment delays.
• Review incoming claims documentation and adjusters' reports, flagging gaps, inconsistencies, or coverage issues and proposing practical next steps.
• Communicate claim decisions clearly and promptly to clients and brokers, ensuring every outcome is explained within the turnaround times promised.
• Proactively chase outstanding claims documents from clients and brokers, and keep an updated pipeline of open claims to minimise aging.
• Act as a direct point of contact for client and broker queries, resolving complaints and operational issues within the documented timelines.
• Perform monthly reconciliations with finance to ensure every settled claim is accurately recorded and aligned with the claims ledger.
• Maintain precise and current claims records in both physical files and the claims management system, while safeguarding company documents and assigned equipment.
• Prepare and distribute monthly claims reports covering reported, settled, declined, and closed claims for management review.

Requirements & Qualifications

• Bachelor's degree in Insurance, Actuarial Science, or a related equivalent discipline.
• At least two years of hands-on experience in insurance claims handling, preferably within corporate or commercial lines.
• Completion of or meaningful progress toward the CII or IIK Diploma, with a minimum of four passed Diploma papers, is strongly preferred.
• Demonstrated ability to work collaboratively across finance, risk, audit, compliance, and customer service teams.
• Strong negotiation skills to manage settlements and resolve disputes effectively.
• Excellent time management and organizational skills, especially when juggling multiple claims and statutory deadlines.
• Proven interpersonal skills and clear written and spoken communication, capable of explaining complex decisions to both clients and brokers.
• High attention to detail when reviewing documentation and reconciling claim records.