To process general insurance claims in an expeditious and professional manner thereby meeting the customerâs expectations and the overall departmental objectives.
1. KEY TASKS AND RESPONSIBILITIESReviewing and processing general insurance claims and giving recommendation on settlement or repudiation. Liaising with customers and intermediaries for full claim documentation. Acknowledge and response to incoming communication and general correspondences e.g., email, letters, phone enquiries etc. Ensuring service providers are appointed promptly to avoid delays in processing of claims. Also following up for submission of their reports as per set TATs. Fraud Management - red flag any suspected cases of fraud and report the same to the supervisor for further review/analysis. Setting claims reserves and having them regularly reviewed to reflect current position of the companyâs liability. Participating in periodical reserve review exercises on outstanding files. Updating clients and intermediaries on claim statuses. Processing of customer payments within the set TATs. Liaising with the supervisor for timely resolution of claims complaints. Maintaining effective business relationships by constantly interacting with the various intermediaries and customers together with the service providers to ensure customers have an excellent and pleasant experience. Institute claims recovery and issue demand letters where there are recovery prospects.Â Liaising with underwriting department by notifying them on risk improvement issues and gaps noted during claims processing.
2. SKILLS AND COMPETENCIESComputer skills Good Customer service Good Analytical Skills
3. KNOWLEDGE & EXPERIENCE
Qualifications:Business Related Degree Insurance professional qualifications (AIIK or ACII)
23 November 2023
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