Job Summary

Under the supervision of the claims manager to ensure that there is an efficient claims management process in both motor and non-motor sections to the expected quality standards and within our service level benchmarks. Specific focus will be management of the claims ratio in respect of the set budget as well as efficient customer service.

  • Minimum Qualification: Bachelor
  • Experience Level: Senior level
  • Experience Length: 8 years

Job Description

Division/department  :    General Takaful    
Immediate supervisor:    Claims Manager 

Key Tasks, Duties and Responsibilities

• Ensure in-depth, investigation of actual claims through direct or indirect contact with policyholders, claimants, other carriers, physicians, contractors, attorneys, etc. 
• Ensure applicable claims are reported accurately and timely to reinsurance as required by procedure.
• Recommend for approval appropriate reserves on files within the set guidelines and monitor the utilization of the distributed reserve. 
• Control and direct activities of defence counsel, directly or indirectly through staff.
• Closely monitor statutory and case law changes within jurisdiction and communicate changes to staff and customers.
• Coordinate efforts among staff and other parties to achieve timely, equitable disposition of claims handled in the Claims Department. 
• Review, monitor and provide technical expertise of staff and ensure that there is systematic adequate on job training
• Monitor benchmarks and have working knowledge of Expense and Payment controls, Large Losses, Staffing and Performance Management.
• Establish and maintain a register of all claims received continuously update claims register and prepare claim reports (Loss ratios per scheme)
• Advise marketing of any claims above 1 million for target selling of the Family Income benefit
• Ensure that With-holding taxes to KRA are remitted as required
• Circulate a list of all outstanding claims every Monday
• Update the AKI register with the claims per scheme  

Person Specifications
Academic Qualifications


Bachelor’s degree in Business Administration 

Professional Qualifications

ACII

Experience

8 years’ experience

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