Job Description

This role is accountable for effective and efficient claims negotiations and finalization of claims. Requires a high level of multi skilling and technical claims knowledge. 

• Register and post new claims and processes them within the set standards to ensure quality customer service is given.
• Set initial reserves for new claims and recommend reserve changes
• Close files as payment/recoveries are made
• Ensure prompt salvage & reinsurance recovery payments are received and communicated to Accounts for posting
• Prepare claim summary reports
• Track by regularly updating the claims register to determine progress of the claim and advising customers on status.
• Raise and record payment requisition voucher, forwarding the requisition to finance department and tracking the file to ensure that the cheque/credit note is received back for dispatch to the claimant within the stipulated period.
• Identify and pursue recoveries at the point of claims registration & processing (facultative, treaties, excess of loss, co-insurance and TPO) and issuance of demand letters then passing on to legal section.
• Promptly attends to customer’s complaints and inquiries and obtain feedback from customers and ensure customer satisfaction.
• Prepare claims statistical monthly/quarterly reports to ATI, Commissioner of Insurance and any other reports as directed by assistant manager or claims manager and ensuring that they are dispatched on time and maintaining records.
• Ensure good relationship with Finance & U/Writing as per agreed SLA’s

Education 

Bachelors Degree (B): Insurance (Required)