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Senior Account Executive Job Minet
Senior Account Executive Job
Duties and Responsibilities
Claims Advisory and Advocacy
- Reviewing and analyzing client claims, applications and adjustments and determining whether a client is covered under their insurance policy and that the claim has been properly adjudicated and processed within reasonable timelines.
- Research, craft and draft appropriate professional and technical responses to claims issues.
- Giving the client a competent insurance policy and a claims expert’s opinion based on sufficient knowledge and analysis of the relevant facts.
- Meeting clients and concerned stakeholders on the ground over complaints and dispute resolution.
Client Account, Claims Relationships
- Manage claims for assigned client accounts, ensuring all insurance policy claims are handled with due diligence and integrity.
- Process claims efficiently and accurately, ensuring prompt payments for all valid claims in accordance with policy terms.
- Maintain effective communication with policyholders to ensure transparency throughout the claims process.
- Ensure that all claims are resolved and finalized within a reasonable and acceptable timeframe, adhering to internal and regulatory standards.
Maintaining Claims Records, Data and Claims Reporting
- Properly handle client information and storage of claims Documents received and ensure the claim files are always updated.
- Accurately capture claims data in the Core Claims Systems and ensure the claims data is up to date and always correct.
- Prepare monthly reports for clients and management, highlighting claims trends.
Complaints & Issues handling
- Handling of customer complaints regarding the claims from the portfolio of accounts and by escalation from direct reports.
- Meeting clients and concerned stakeholders on the ground over complaints and dispute resolution.
Key Result Areas
The accountability areas are as follows;
- Client Retention at 100%.
- Claims life cycle lead time at 25-30days (simple claims) and complex claims at 90-180days.
- Real-time claims information
- Claims closure rate at 115% (Closed/New) for the year.
- Customer satisfaction Index of 85% and net promoter score of 60%
- Compliance with processes, policies and procedures at 100%.
Key Competencies
- Customer Service Orientation.
- Interpersonal and Communication Skills.
- Problem solving abilities.
- Resilience and persistence.
- Teamwork and collaboration.
- Continuous leaing and adaptability.
Knowledge And Skills Required
- Adept in general insurance claims with an experience of at least 3 years in a busy general insurance claims environment.
- Excellent communicator in both verbal and written English.
- Creative and strategic thinking.
- Strong analytical and risk management capability.
- Excellent computer skills.
- Good organizational skills, agile, resourceful and collaborative.
- Keen and attention to details.
- Team player.
Professional and Academic Qualifications
- Bachelor’s Degree from a recognized university (in a Business / Legal Studies-related discipline).
- Diploma in ACII / AIIK.
How to Apply
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