Administration and processing of retail claims, data analysis and presentation of reports on claims.
Role ComplexityThe role would require someone who is able to manage and maintain a good relationship with both internal and external customers; negotiate claims with repair vendors; and is able to use Microsoft Excel and other software that would be required in claims processing. The Claims Officer should be someone who understands the importance of privacy and confidentiality in managing customers information. The Claim Officer should also be someone that values integrity and is able to make sound judgement on claims.
Functions & ResponsibilitiesThe Claims Officer acknowledges claims within stipulated acknowledgement period. Reviews, negotiates, and adjust claims in line with the terms and conditions of the Policy. Processes and settles claims while ensuring that TATs are met. Effectively communicate and manage the relationship and expectations of customers, team members, external engineers/adjusters and other stakeholders. Prepare weekly claims reports using Excel. Administration of claims for individual and SME clients from cradle to grave. Proficiency in the use of Microsoft office. To ensure reported claim is within the scope of the policy. Investigate claims and arrive at a mutually acceptable resolution. To perform in house adjustment or effectively monitor outsourced adjustment of claims. To provide information on reported, WIP and closed claims. To ensure claims are processed within agreed SLAs with customers and Partners. Review and Update of reserves in line with Engineer's/Adjuster's report and outstanding Provided up-to-date information on all retail insurance claims for monthly reporting to the organisationâs regulatory body (NAICOM) Preparation of Claims Reports for Departmental use.
Core CompetenciesDecision-making. Problem solving. Adaptability. Excellent communication skillst. Proactiveness. Integrity.
Functional CompetenciesNegotiation. Good client relationship management. Attention to detail. Sound judgement. Analytical skill. Ability to use MS Office packages.
QualificationsHND/BSc in any field Professional Qualification will be an added advantage 3 years and above experience as a Claims Officer in an insurance coy
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