Claims Manager at Virtual HR

Key Responsibilities

• Developing and leading the implementation of the Claims strategy to ensure the achievement of targets.
• Managing claims at the individual and portfolio levels.
• Implementing plans and initiatives to increase customer satisfaction and retention.
• Reviewing business workflows to ensure accuracy, effectiveness, and compliance with regulatory requirements.
• Ensuring accurate preparation, and timely submission of periodical claim reports.
• Developing tools and recommendations for claims risk management/fraud detection.
• Establishing specific goals in conjunction with claims handling.
• Approving and/or recommending claims for settlement in line with the terms and conditions of the insurance policies and financial authority.
• Participating in the development of Claims department budgets.
• Enforcing the reserving policy following recommendations from the Finance department.

Key Qualifications and Skills

• Bachelor’s degree in business, Finance, Economics, or a related field from a recognized institution.
• A post-graduate Diploma in Insurance will be an added advantage
• At least seven (7) years’ relevant working experience in a busy Claims environment and three (3) years’ experience in a managerial position
• Extensive knowledge of statutory and regulatory requirements of insurance companies.
• Results oriented with an entrepreneurial and innovative approach to business.
• Excellent leadership, problem-solving, and negotiation skills.
• Good analytical, reporting, communication, and presentation skills.