Claims Analyst Job Britam
Job Purpose:
To manage and settle insurance claims from notification to final resolution by assessing claim validity, reviewing policy coverage, determining fair compensation, negotiating settlements, resolving disputes, pursuing recoveries, and ensuring compliance with company policies and regulatory requirements while minimizing financial losses and maintaining customer satisfaction.
Responsibilities:
- Receive claims notification, acknowledge, register and process as per the insurance policy in place.
- Review documents submitted, verify and analyze in relation to existing policy and checking its validity and settlement according to company procedures and standards
- Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.
- Issuing authorization letters, settlement offers as approved and monitor progress
- Respond to both internal and external claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms
- Record all claims transactions in pure system with correct reserves.
- Proactive communication and feedback provision to clients/intermediaries on claims progress
- Appointment of service providers and close follow up on their delivery.
- Preparation of monthly reports
- Processing facultative claims
- Perform any other duties as may be assigned from time to time.
Working Relationships
Internal Relationships:
- Accountable to the Claims Supervisor
- Required to liaise and work closely with the other departments as may be necessary
External Relationships:
- Britam Customers
- Insurance sector players
Knowledge, experience and qualifications required
- Bachelor’s degree (insurance option preferred)
- Professional qualification in Insurance (Certificate CII)
- Three to four years’ experience in the insurance industry
- Experience in customer, market and competitor understanding
- Knowledge of insurance regulatory requirements
- Knowledge of Britam products
Technical/ Functional competencies
- Knowledge of insurance regulatory requirements
- Knowledge of insurance products
- Sales and marketing management skills
How to Apply
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