Senior Claims Supervisor at Apollo Life Assurance - APA Insurance

KEY PRIMARY RESPONSIBILITIES

• Supervising the Claims Staff and ensuring that their performance meets the required standards
• Ensuring prompt registration and acknowledgement of newly reported claims
• Identifying valid claims by carefully analysing the supporting documents
• Ensuring that outstanding claims are reviewed on a semi-annual basis or as advised by the HOD
• Ensure that recoveries are pursued aggressively against the negligent third parties.
• Monitoring overall costs of claims department and ensuring that service providers are appointed only where necessary
• Monitoring performance of service providers to ensure timely submission of reports without compromising on quality
• Facilitating and maintaining cordial relationships with our service providers, brokers and prospective clients
• Ensuring timely submission of Claims Reports by claims adjusters, analysing them and taking appropriate action
• Ensuring that service providers are appointed promptly and that Claim Adjusters follow up reports from the providers as per the agreed SLAs
• Notifying Underwriting Department on any critical matters that become apparent at the claims stage
• Providing technical support to Branches
• Coordinating all audits with the concerned parties
• Ensuring prompt Sale of Salvages at the best prices
• Assigning work, supervising and providing leadership to claims officers
• Approving claims both on file and system settlements within allocated approval limits;
• Reviewing and revising processes in the claims section for adherence to the customer charter and policies;
• Providing the management with the necessary reports and constant updates on claims matters;
• Regular reviewing of reserves;
• Managing claim costs through strategic initiatives of the company to ensure profitability of the business;
• Managing stakeholder relationship as detailed in the manuals;
• Providing information required by both internal and external auditors to ensure complete and efficient audit process. Informing team and follow up implementation of audit recommendation
• Complying with statutory, regulatory and internal control processes at the business units including internal and external audit recommendations;
• Developing departmental budget and business plans to achieve the set company targets;
• Entrenching performance based appraisal of departmental staff in line with their set KPIs and departmental targets;
• Participating in company CSR and brand building activities in liaison with other departments;
• Training, coaching and mentoring staff in order to improve performance and cohesion within the department;
• Implementing interdepartmental SLA in liaison with other departmental heads;
• Participating in management meetings, projects and committees as assigned.

ACADEMIC QUALIFICATIONS

• Bachelor’s degree in a business related field/ Insurance option/Actuarial Science or an equivalent.

JOB SKILLS AND REQUIREMENTS

• Interpersonal & communication skills
• Team player with high integrity
• Visionary Leadership
• Customer Focus
• Continuous Innovation
• Ownership and Commitment
• Market Awareness

PROFESSIONAL QUALIFICATIONS

• ACII/AIIK

EXPERIENCE

• A minimum of 3 years’ claims experience in a reputable and very busy insurance environment.