Head of Claims at MUA Kenya

Position Summary:

The successful candidate will be responsible for strengthening the organisation effectiveness in claim processing, supervision of claims vetting and audit to ensure all claims paid are according to the company policy and guidelines and and to ensure the successful conduct of legal cases by and against the company.

Key Deliverables:

• Review, Develop and Implement the Company’s Claim Policy
• Ensure smooth running of the entire claims department comprising of non-legal & legal, claims
• Maintenance of the overall claims handling systems
• Verify and analyze claims documents to ensure settlements in accordance with the underwriting policies, company practices and procedures
• Allocation of reserves and subsequent review to ensure adequacy
• Pursues recovery of claims outlay from culpable third parties
• Maintain detailed records on all claims reported, investigate, and deduce trends and recommend risk containment measures
• Monitor internal and external service level stands and ensure compliance
• Attend court to represent the Company as a witness or any other capacity as may be approved by the Company
• Scrutinize of all claims documents to certify the completeness and correctness
• Ensure necessary approvals are done within the service level agreement
• Safeguard the company’s interests and reputation in claims handling procedures
• Preparation of internal and external monthly, periodical reports and other management reports as required
• Preparation of board documents
• Resolve complaints/disagreements with suppliers and partners amicably to maintain a good working relationship
• Managing staff/staffing matters within the Department
• Ensure knowledge management and build capacity for vetting and processing of claims within the department
•  Any other duties as may be assigned from time to time

Requirements:

 Applicant should have:

1. B com degree, Management, Finance or related field
2. Bachelor’s law degree
3. ACII, AIIK or other insurance related professional qualification
4. At least 10 years experience in the insurance sector
5. An MBA shall be an added advantage
6. Ability to deal with both legal and non-legal insurance claims

Other Skills

1. Excellent communication and interpersonal skills
2. Negotiation skills
3. Ability to respond effectively to unexpected or changing circumstances
4. Ability to prepare clear and detailed reports to facilitate decision making process
5. Analytical and problem-solving skills
6. Ability to manage and coach a team

Personal Attributes

1. Good Customer service skills.
2. High degree of professionalism and integrity
3. Ability to maintain a high level of accuracy in preparing and entering information
4. Responsible and flexible