Vacancies at Britam

This role will assist the Legal Manager in the provision of legal support to the Company through the  effective management of legal risks arising, in addition to the  management of the legal claims team.
Key responsibilities:

• Providing detailed liability claims analysis to assist the Management to understand the liability exposures and implications of strategic initiatives and operational decisions. This will include analysing court files, hospital records and obtaining documents as allocated with a view to recommending or approve (as appropriate) the best decision on legal claims.
• Identifying fraud risks and implementing strategies to mitigate them and assist  in maintaining financial stability. 
• Managing the Legal Claims team to ensure compliance with Standard Operating Procedures and achievement of departmental objectives/key performance indicators. 
• Preparation of reports and dashboards for presentation at relevant  departmental & Management meetings.
• Identifying and realizing opportunities for cost savings and more efficient management of liability claims contributing to the organization’s profitability and long-term sustainability.
• Ensuring up-take and  operational compliance with such IT/Digital operations system that shall be adopted by the Company from time to time. In addition, driving the continued innovation and process improvement efforts to enhance operational efficiency and effectiveness within the departmental operations..
• Approval of payment of fees, judgements and/or discharge Vouchers within TAT's as per SODA, Claims Legal Manual and relevant Service Level Agreements.  This shall include undertaking relevant reconciliations on service provider payments.
• Continuous Improvement: Encouraging a culture of continuous improvement within the legal team drives ongoing enhancements in processes, efficiency and effectiveness. 
• Ensure closure of all outstanding open audit items within timelines indicated. Effective management of the Legal Panel to monitor and enforce compliance with the Service Level Agreement.
• Effective management of other service providers including investigators and medical experts. 
• Ensure effective case management by the team including liaison with customers and service providers on required documentation, witnesses etc. on legal claims to secure the Defence.
• Undertake handling of material claims and suits against the Company as per Delegation of Authority matrix and as designated from time.
• Manage reputation risk exposures to the Company as a result of the handling of Legal Claims.
• Ensure up-to-date record keeping as per Claims Legal Manual. Recommend updates to the policies and procedures governing the department from time to time. 
• Keep the management appraised on legal claims status and manage legal claims costs.

Knowledge, experience and qualifications required

• Bachelor of Laws (LLB).
• Advocate of the High court of Kenya.  
• 5 years and above Legal claims experience in an insurance company.
• AIIK/ACII qualification is an added advantage.
• Proficiency in MS word applications and operational systems will be an added advantage

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The role holder will be responsible for the processing and payment of general insurance claims.
Key responsibilities:

• Review documents and pertinent requirements regarding an insurance claim.
• Ensure that the insurance claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim for non-motor.
• Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.
• Respond to both internal and external claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms.
• Record all claims transactions including appointment of Loss Adjusters, investigators and surveyors.
• Prepare claims reports for claims meetings and update the various claims reports.
• Prepare initial claim letter and mail to insured, along with appropriate forms for completion.
• Track and follow up on receipt of necessary forms.
• Process payments to insured’s and service providers as per SLA's.
• Maintain adequate reserves as per reserve guidelines and participate in the monthly, quarterly and annual reserves reviews.
• Ensure that claims, appointment and payments are processed within the set TATs and claim files duly updated.
• Ensure that initial demand letter is prepared, sent out on all recovery matters and the recovery data updated.
• Prompt settlement of invoices and negotiation with service providers to realize Savings as per set targets.
• Record and update all required registers or company data across all necessary system. 
• Initiate and pursue recovery under motor, XOL, FacRe or any other recovery. 
• Adhere to claims manual procedures and processes.
• Delegated Authority: As per the approved Delegated Authority Matrix. 

Key Performance Measures:
As described in your Personal Scorecard.

Knowledge, experience and qualifications required

• Bachelors of degree or commerce (insurance option preferred).
• Progress in professional qualification in Insurance (ACII, FLMI or AIIK).
• 2-3 years’ experience in insurance claims processing.
• Knowledge and experience in the insurance sector.