Claims Officer-Medical

Barclays Bank of Kenya Limited

Job Summary

To support the Claims Manager in the claims Business by providing operational support in the Claims Department processes. To process and settle insurance claims in a fast, fair and courteous manner to ensure customer satisfaction, company profitability and good corporate image

  • Minimum Qualification: Bachelor
  • Experience Level: Mid level
  • Experience Length: 3 years

Job Description

Key

Accountabilities

Accountability: Operational Process Support


·         Acknowledging new claims and calling for requisite supporting documents/items
·         Registering new claims
·         Ensure that all claims reported are registered in line with the company procedures and reserved accordingly; and also ensure that reserves are periodically reviewed.
·         Ensure that the allocated claims processes are performed within the time frames as agreed with clients, brokers and other departments to ensure service delivery.
·         ·Ensure that service providers fee notes, invoices and Discharge vouchers are settled within the set TATs
·         Assist and manage queries escalated by staff, brokers, clients or service providers to ensure timeous resolution.
·         Liaise and visit brokers to build relationships
·         Assist in the salvages disposal process.
·         Ensure that all the cost containment strategies in claims department are adhered to.
·         Collaborate with underwriting department on areas or actions that may minimize a loss or if action is recommended post a loss due to the risk.
·         Escalate poor performing accounts to Head of claims for management
·         Instructing loss assessors and investigators
·         Examining loss assessment reports and recommending settlement or repudiation
·         Confirming client’s premium payment status
·         Preparing claim settlement offers and discharge vouchers
·         Communicating Risk improvement measures to Underwriting Department
·         Preparing claim payment vouchers for clients and service providers & credit notes
·         Writing cheque forwarding letters and sending them to the dispatch desk
·         Preparing debits for excess and recoveries
·         Writing demand letters
·         Revising reserves
·         Handling facultative recoveries and payments
·         Compiling monthly and annual reports for the IRA and other interested parties
·         Responding to letters and forwarding them to dispatch desk for distribution to clients, intermediaries, service providers and third parties
·         Approving claims settlement within agreed limits (signing authority)
·         Attending to walk in clients and via telephone

Role / Person

Specification

Education and Experience Required:


    Bachelor of Commerce (Insurance Option) degree, or a related business degree, from a reputable university.
    At least 3-5 years’ experience in a busy underwriting or claims department

Professional qualifications

    At least 3 papers and good progress in
    CII Diploma in Insurance (UK)
    IIK Diploma in Insurance (Kenya)

Knowledge & Skills:

    High level of PC literacy (MS Office, Outlook)
    Knowledge of basic financial/accounting concepts
    Excel intermediate
    Basic accounting knowledge
    Negotiation skills
    Organizational skills

Competencies: (Maximum of 8 competencies)

    Personal and Interpersonal skills
     Reporting writing
    Decision making skills
    Relationship and  networking skills
    Persuading and Influencing skills
    Analytical skills
    Ability to work under pressure
    Change management skills

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