Claims Analyst

Job Summary

The purpose of the position is to undertake retail and corporate claims processing to ensure timely settlement of claims within the stipulated Liberty Life guidelines on claims management.

Key Responsibilities

• Process claims accurately and in a timely fashion as per the provided guidelines to ensure the achievement of the set customer service standards
• Analyze the documentation submitted by clients to ensure the information supplied is credible in line with the Liberty Life guidelines on claims processing
• Register all new claims promptly and acknowledging receipt of the same
• Assemble and analyze claims to establish liability
• Advise claimants regarding basic matters about their insurance coverage in relation to the insurance claim
• Respond to both internal and external claims inquiries concerning claims process, service providers, and the filing/completion of proper forms
• Record all claims transactions
• Prepare claims registers for claims meetings and update the various claims reports
• Keep claims records as per the Liberty Life guidelines on record management to ensure ease in accessibility of information and data integrity
• Maintain the claims register to ensure accuracy in data
• Prepare quality reports in a timely manner to ensure timely submission for review
• Create & reconcile claims reserves, and make reinsurance recoveries upon settlement – group life
• Reconcile claim reserves and paid claims – retail
• Manage the maturity and surrender suspense including premium refunds
• Process/disburse pension claims and other related payments including withholding taxes, trustees and service providers’ fees

Qualifications

• Bachelor’s degree in insurance or a business-related field
• Professional qualification in Insurance (LOMA, ACII, AIIK)

Experience

• At least 2 years’ experience in claims, underwriting or pension administration role in the life insurance industry

Competencies

• In depth understanding of insurance operations and concepts
• Knowledge of insurance regulatory requirements
• Knowledge of claims procedures
• Effective business management skills
• Demonstrable commercial and financial management experience
• Excellent organizational and stakeholder management skills
• Customer service skills
• Timely processing of claims
• Accuracy of information supplied for claims processing
• Customer feedback on the quality of support provided on claims issues
• Timeliness and quality of reports submitted for review
• Timeliness and accuracy in the maintenance of the claims register
• Business acumen