• Application Deadline:
• Position: Claims Officer


• Job Type Full Time


• Qualification BA/BSc/HND


• Experience 5 years


• Location Lagos


• Job Field Finance / Accounting / Audit 
  

Key Roles and Responsibilities

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


• Negotiate with retail 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.

Education and Experience

• Degree in Finance, Insurance or related discipline.


• Minimum of 5 years’ experience in the insurance industry with relevant experience in the same capacity.


• Possession of a Professional certification is an added advantage.

Skills and Competencies requirements

• Demonstrates technical claims knowledge and experience


• Able to provide recommendations to improve claims operations


• Able to analyze claims records to evaluate efficiency and effectiveness of claims operations against predefined performance standards


• Able to improve efficiencies, effectiveness and compliance claims operations based on regular evaluation results


• Able to manage claims operations to ensure compliance with relevant policies and guidelines, as well as regulatory requirements


• Ability to identify, adopt, and implement innovative solutions to claims management


• Leadership and communication skills


• Exceptional problem-solving and decision-making skills


• Proficient in Microsoft Office suite and core insurance software