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Team Leader, Claims Job Liberty Life
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Key Responsibilities
- Receive reports on new claims and ensure they are promptly registered and handled in accordance with our Customer Service Charter.
- Ensure all claims are handled professionally within the terms and conditions of policies issued.
- Ensure settlement offers and payments are processed promptly in line with set targets
- Evaluate and settle claims in accordance with delegated authority, to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio
- Continuously monitor turnaround time of claims and benefits settlement and take or suggest corrective measures where there are gaps in claim process.
- Initiate and actualize claims cost management measures within the Treating Customer Fairly (TCF) guidelines
- Appoint service providers such as assessors, investigators and loss adjusters
- Oversee the preparation of claims statistical reports within the stipulated time
- Verify and analyse data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures
- Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claims
- Confer with legal counsel on claims requiring litigation
- Undertake portfolio analysis and risk recommendation reporting to underwriting department
- Review reports from service providers and make appropriate recommendations on payment and any further action.
- Preparation of weekly and monthly claims reports for presentation to the Manager for review
- Continuous review of claims reserves to ensure they are adequate at all times
- Deal with general correspondences
- Maintain a high level of service to customers at all points of contact such as telephone calls, emails, letters or personal visits
- Prompt attention to complaints
- Ensure compliance with SLAs by all stakeholders and initiate corrective action for any breach
- Conduct training for intermediaries as may be necessary for them to understand our products
- Be instrumental in implementing strategic objectives
- Supervise all direct reports to ensure productive use of time and maintenance of discipline
- Appraise, train and develop staff for more challenging roles
- Ensure accurate data capture including tagging of service providers
- Participate in the scheduled quarterly reviews of files
- Embrace governance requirements with respect to KYC/AML/Data protection requirements per governing Acts.
Qualifications
- Bachelor’s Degree in Business Management, Insurance, Economics or Related Discipline
- Progress towards Diploma in Insurance (ACII or AIIK), (at least 5 papers or equivalent)
Experience
- 6-8 years’ experience in claims management in the insurance industry
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How to Apply
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