Team Lead, Corporate Claims at Coronation Insurance Plc

Job Overview

Location
Lagos, Lagos
Job Type
Full Time
Date Posted
2 years ago

Additional Details

Job ID
67691
Job Views
91

Job Description



Principal Duties & Responsibilities



  • Negotiate with corporate customers on settlement amounts, terms and recovery actions in accordance with organization policies and procedures as well as 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

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

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

  • 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 claims trends to propose product design enhancements

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

  • Ensure accuracy of records and adherence to internal controls


Education and Work Experience



  • Bachelor's Degree in Insurance or any related discipline

  • Minimum of 7-9 years’ experience in claims with at least 3 years leading a team.

  • Must possess a CIIN membership.


Required Skills and Competencies



  • Demonstrate 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

  • Able 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


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