Corporate Claims Officer at Coronation Insurance Plc

Job Overview

Location
Lagos, Lagos
Job Type
Full Time
Date Posted
7 days ago

Additional Details

Job ID
129830
Job Views
25

Job Description






Key Duties and Responsibilities




  • Assess potential high-value fraudulent claims by evaluating documents and information collected against common indicators of frauds

  • Negotiate with corporate customers on settlement amounts, terms and recovery actions in accordance with organisation policies and procedures and applicable laws and regulations

  • Communicate all claims decisions in a timely and appropriate manner and ensure that communication during the assessment process is regular, timely, and clearly documented.

  • Determine if technical and/or high-value claims should be accepted based on results of claims analysis and reports from service providers

  • Determine settlement amounts for technical and/or high-value insurance claims based on investigation outcomes

  • Interpret policy wordings and conditions to determine the validity of claims and advises the claimant accordingly

  • Negotiate with corporate customers on settlement amounts, terms and recovery actions in accordance with organisation policies and procedures and applicable laws and regulations

  • Ensure claim matters are handled according to customer service standards and defined customer experience policies

  • Review Key Performance Indicators (KPIs) relevant to each stage of the insurance claims process and propose recommendations to increase efficiency

  • Identify claim trends to propose product design enhancements

  • Determine appropriate modifications to business processes to ensure seamless transition and minimise resistance for claims handling

  • Ensure accuracy of records and adherence to internal controls

  • Maintain compliance frameworks, policies, and procedures to reflect changing regulatory requirements and organisational compliance strategies



Key Requirements

Education and Work Experience:




  • Bachelor's Degree in Finance, Insurance or any related discipline

  • Minimum of 5 to 7 years’ experience in the Insurance industry.

  • Possession of a Professional certification is an added advantage



Skills and Competencies:




  • Understands the scope of cover, including policy extensions, limitations, and exclusions for the class of business being underwritten

  • Sound Knowledge of the Insurance industry

  • Ability to apply internal compliance procedures to ensure own work is in compliance with standards

  • Strong attention to details

  • Excellent written and verbal communication skills

  • Excellent customer service skills

  • Knowledge of Microsoft Office and Core Insurance software.



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