Claims Specialist at Liberty Life

The role holder will be responsible for ensuring general insurance claims are accurately assessed, processed and paid in accordance with company regulations and standards. ​

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 ​