PURPOSE:

Reporting to the Benefits Payment Manager, the role holder will fulfil promises and obligations of risks assumed by the company on behalf of its clients by efficiently processing all certain and uncertain claims and settling within the stipulated timelines.

PRIMARY RESPONSIBILITIES:

• Register, analyze and process all reported uncertain claims and advice clients on the required claims supporting documents
• Verify and authorize processed claims up to specified limits;
• Resolve customer complaints and disputes swiftly, fairly and diplomatically;
• Analyze policies due for certain claims and process the claims within stipulated timelines.
• Communicate risk improvement measures for implementation to the underwriting department by monitoring claims experience trends.
• Prepare various claims analysis reports for clients and management consumption.
• Initiate claim recoveries, in conjunction with the reinsurance officer, from the reinsurer.
• Process all surrender payments within the stipulated timelines

Key Skills, Knowledge, Experience and Behavioural Competencies
 Academic and Professional Requirements

Education

• Bachelor Degree in Actuarial, Statistics or a business-related field.

Professional Qualifications

• AIIK, ACII or LOMA – Added advantage

 Experience Required:

• Relevant experience    Three (3) years’ relevant experience