Description
Our Client, an insurance organization seeks to recruit a Claims Manager who will be responsible for maintaining relationships with the customers through efficient claims processing, settlement within IRA stipulated timelines.
Job Location: Nairobi
Key Duties & Responsibilities
- To be the single point of contact for the company on claims and manage the claims resolution process.
- Oversee the intake and processing of insurance claims for all classes of business loss based on coverage, appraisal and verifiable damage.
- Determining and delegating claims settlement authorization within the company
- Provide technical guidance to staff on claim investigation, reserving evaluation and resolution of claims.
- Conduct audits of the claims process with a view to improve efficiency and participant experience.
- Completes field re-inspections of vendor or employee claims to ensure proper claim handling and compliance with company procedures.
- Assists in the coordination of third party service providers in all claims process.
- Participates in training and/or mentoring of departmental staff
- Develops, analyzes and reports KPI’s useful in measuring team performance as well as the effectiveness of the claim’s operations.
- To maintain a verifiable claims register.
- Coaching and mentoring Claims team members to improve participant experience and practices for claim’s quality assurance.
- Report to CEO on service standards and compliance requirements with IRA
- Review complex claims cases with a view to resolve the amicably
Management Responsibilities
- To be responsible for the set-up, management, and coordination of the claims department.
- Supervise & review performance of the Claims Department and other administrative matters.
- To be responsible for the coordination of outsourced specialists.
- To report to the CEO and the Board on claims management performance.
- Participate in the review SLA agreement with 3rd Party providers.
Key Requirements
- Bachelor’s degree in Insurance or any business-related field.
- Diploma and Insurance
- Professional member - AIIK
- Minimum of Six (8) years of work experience
- 3 years working experience in similar role
- Excellent reporting skills.
- Attention to detail
- Quick execution on new concepts.
- Clear, precise, and concise communication.
- Commercial awareness
- High level of integrity, and ethical standards.
- Strong organizational skills
- Team management skills
- Collaboration Skills.
- Analytical Skills.
To Apply:
Applicants who meet the requirements stated above should send their applications and detailed CVs with a day – time Telephone number to the email address: jobs1@hcsaffiliatesgroup.com with Claims Manager-Insurance on the Subject line.
Candidates MUST indicate their Current and Expected salaries.