To efficiently manage the claims process under Group Credit, Group Life and Group Personal Accident / WIBA.

Duties and Responsiblities

• Ensure strict adherence to claims process under ISO standard operating procedures.
• Constant monitoring and evaluating the claims process to maintain highest standards.
• Follow up on documentation for all claims under the policy.
• Follow up on claims and ensure payment is done within stipulated SLA timelines.
• Monitor claim payments and generate various reports.
• Respond to client’s enquiries effectively and make sure resolution of all issues raised.
• Follow up with Insurer for preparation of Discharge Vouchers and Payment of due claims.
• Verify and ensure that all the accompanying documents for Life claims are attached and forwarded to Insurer for payment within 1 day of receipt.
• Ensure clients are served timely, sufficiently and effectively i.e. on phone, emails, letters and walk-in clients.
• Maintain an updated Global Claims register at all times.

Key Result Areas

• Timely claims payment.
• Quality claims processing.
• Quality customer experience.

Key Competencies

• Microsoft Excel.
• Strong analytical skills.
• Report writing skills.
• Excellent communication skills both oral and written.
• Time management skills.
• Flexibility and adaptability.
• Strong interpersonal and organizational skills.

Knowledge And Skills Required

• Demonstrate data and analytics skills through the ability to analyse large volumes of data.
• Knowledge of and ability to use computers with Windows-based business software applications, with proficiency in Excel.
• Skill in fostering client relations including the ability to effectively manage conflict.
• Attention to detail.
• Ability to establish and maintain effective working relations.
• Effective organizational skills, including the ability to multitask and manage multiple projects simultaneously, and adaptability to changing priorities to meet business demands.

Professional and Academic Qualifications

• Bachelor’s degree in business-related field.
• Diploma in Insurance / ACII.
• 2 years’ relevant experience.