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Claims & Client Operations Manager Job Britam

Insurance Jobs, Britam Jobs.

Key responsibilities:

  • Responsible for managing BMI claims processes (design, data entry, vetting, approvals & payments). 
  • Responsible for client relations management by ensuring quality service & periodic interactions. with clients. 
  • Designing & implementing innovative initiatives to improve customer satisfaction & retention. 
  • Setting up client feedback systems to enable process improvements informed by client inputs/feedback. 
  • Coordinate processing and payment of claims , management of service providers and operational process improvements.
  • Management of claim processing flows to ensure efficiency and manage case management activities.
  • Control and oversee provider recruitment into segment provider panel. 
  • Advice on processes improvement through automation of tasks and processes.
  • Coordinating management of relationships with clients, intermediaries and service providers.
  • Providing leadership and mentorship to the claims team.
  • Developing suitable operational procedures to meet strategic objectives of the organization.
  • Review documents and pertinent requirements regarding claims.
  • Ensure claims made by the clients are complete in form and complies with the documentary requirements of an insurance claim.
  • Respond to both internal and external client inquiries concerning claims process, service providers, and the filing/completion of proper forms.
  • Prepare claims registers for claims meetings and update the various claims reports.
  • Delegated Authority: As per the approved Delegated Authority Matrix.
  • Perform any other duties as may be assigned from time to time.

Knowledge, experience and qualifications required:

  • Bachelor’s’ degree in Nursing.
  • Strong AI and Analytical Skills.
  • Professional qualification in Insurance is a must.
  • At least 6 years’ experience in insurance claims management three of which should be in a supervisory position.
  • Knowledge of insurance regulatory requirements.
  • Knowledge of insurance products.

How to Apply

Click here to apply

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