Job Description
The role is responsible for the claims processing activities which include but not limited to claims acknowledgement, correspondence with client/brokers on claims substantiating documents, producing claims vouchers and follow up till claims are paid.
The role involves
- Acknowledgement of Claims Notice
- Request for Claims Substantiating Documents
- Claims processing and follow up
- Claims Reports – Management and Regulatory
- Providing evidence of payment to clients.
- Validating claim documents.
- Verify identity of claimant and ensure completeness of documents – KYC, Enhanced Due Diligence on claimant
- Produce voucher for authorization
- Produce Claims Batch for verification
These objectives will be achieved through :
- Ensuring proper review of claims occurrence within three months of policy inception
- Communicating feedback on findings to underwriting team on risk improvement
- Identifying the factors and products that drive the highest frequency and severity of losses
- Implementation of automated end-to-end workflow processes to reduce manual intervention in internal processing
- Better knowledge of the Industry, Business and product by staff of Claims function
Qualifications
Academic:
- Bachelor’s Degree or equivalent from a recognized University (Business Related preferred)
- Professional Qualification (CIIN)
Functional / Technical skills:
- Dexterity in the use of Microsoft suites
- Good interpersonal skills
- Accuracy and Speed
- Must be receptive to instructions
- Computer friendly