Reports To: Claims Manager
Purpose:
This role provides proactive management of claims in order to achieve high levels of satisfaction for the
insured through high quality claim management, resolution and excellent client’s service.

Core Responsibilities

• Develop and implement policies and procedures for investigating, evaluating risk and settlement of claims.


• Propose improvement in the underwriting guidelines based on claims and other experiences


• Provide technical support to the underwriting and accounts departments in all phases of claims handling.


• Maintain records and provide file and data management of losses reported and claims paid.


• Put in place a system for managing individual and portfolio exposures


• Measure financial impact of claims and recommend appropriate actions to avoid, retain or transfer the risk.


• Conduct periodic assessment of underwritten risks.


• Collect accurate information and documents for claims analysis


• Undertake baseline analysis of risk exposure and insurance coverage.


• Design and maintain loss reports and monitor claim trends


• Communicate with clients, and all other interested parties in claim processing.


• Organize the filing for overdue and claims.

Qualifications:
Educational level.
• A degree/Higher diploma in Insurance, or any other relevant field plus a professional
qualification in Insurance
• Professional certificate is highly preferred.
Experience.
• Proven experience as a Claims Officer (Minimum of three years’ experience in claims
management.)
• Background in claims service: industry knowledge is a plus.
Specific skills and personal characteristics.
• Competence in English both orally and written is a pre-requisite.
• Extensive experience with legal documents used in the insurance industry
• Experience with claims management.
• Good communication and negotiation skills
• Willingness to travel.
• Proficient in MS office.