Senior Claims & Benefits Officer at Jubilee Insurance

Job Ref. No. JLIL002

Role Purpose

The job holder will assist in the effective and efficient running of the claims department by ensuring prompt processing of claims and benefits, at minimal costs with great emphasis on service delivery.

Main Responsibilities

1. Verification of claims and benefits supporting documents and payments requisition to ascertain their correctness and approve payments.
2. Ensure that claims and benefits are paid efficiently and within the agreed Turn Around Times (TAT)
3. Highlight any fraudulent claims.
4. Compiling claims data and coordinating with underwriters regarding writing of risks with adverse loss ratios.
5. Recommending and advising on risk management techniques and controls based on claims experience.
6. Ensure full automation of processes and reports within the section to ensure that process efficiency and staff productivity is well maintained.
7. Monitor and reduce policy premium suspense on closed policies.
8. Track all queries and complaints raised and ensure response is given with the required TAT.
9. Provide sectional reports to monitor trends and activity as well as review exceptional reports as may be required.
10. Ensure compliance of all company policies, regulatory and statutory reports.

Key Competencies

1. Market Awareness
2. Visionary Leadership
3. Customer Focus
4. Continuous Innovation
5. Ownership & Commitment
6. Entrepreneurial Spirit
7. Team Spirit

Qualifications

1. Bachelor of Commerce in Insurance, or any other related field.
2. ACII or AIIK

Relevant Experience

Minimum of 7 years relevant experience in a similar position, 2 of which are in a supervisory level.