Claims Officer at APA Life Assurance Company Ltd

Job Description

KEY PRIMARY RESPONSIBILITIES

Providing advice on making a claim and the processes involved
Processing new insurance claims notifications
Collecting accurate information and documents to proceed with a claim
Analyzing a claim made by a policymaker
Contacting service providers a network of approved professionals and arranging for them to make repairs on the policyholder’s property
Monitoring the progress of a claim
Investigating potentially fraudulent claims
Identifying reasons why full payment may not be made
Ensuring fair settlement of a valid claim
Building relationships with loss adjusters, forensic accountants and solicitors, as well as other legal/claims professionals
Ensuring the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines
Handling any complaints associated with a claim
Initiating legal recovery of monies paid out
Maintaining good broker relations
Keeping cost at a bare minimum
Adhering to legal requirements, industry regulations and customer quality standards set by the company.
Ensuring premiums are settled prior to claim processing.
Liaising with the underwriting department for policy terms and endorsements.
Advising on loss making/non performing brokers.
Ensuring that all enquiries by clients and or stakeholders are responded to promptly and appropriately.
Ensuring that discharge vouchers are dispatched and settled as per the guidelines.
Ensuring that records in respect of claims processed are available and maintained correctly for effectiveness in responding to policyholders’ queries.
Regular briefing to the departmental manager and making consultations.
Entering claims data to the system
Assisting and training new staff on work procedures and company policies to ensure effective client service
Participating and contributing in meetings, discussions and consultations with other team members to ensure that all hindrances to job performance are addressed in good time.
ACADEMIC QUALIFICATIONS

Bachelor’s degree in relevant field
JOB SKILLS AND REQUIREMENTS

Team Player
Negotiation Skills
Interpersonal Skills
Interpersonal and Communication skills
Integrity
PROFESSIONAL QUALIFICATIONS

ACII/AIIK
EXPERIENCE

At least 4 years relevant experience in Insurance