Senior Officer – General Claims at GA Insurance Ltd

Job Description

Reports to: Manager – General Claims

Job Summary:

To ensure claims settlements are timely and professionally concluded and always ensuring compliance with the company claims management philosophy as well as the claims procedures manual.

Duties and Responsibilities:

• Ensuring prompt registration and acknowledgement of newly reported claims.
• Identifying valid claims by careful analysis of supporting documents.
• Ensuring that recoveries are pursued aggressively against the negligent third parties.
• Thoroughly review each claims report and recommend settlement in line with policy liability and circumstances of loss.
• Ensure prompt processing for settlement on all fully documented and concluded claims and seek approval for payment within the agreed timeframes and approval levels
• Consult and advice continuously on all issues regarding claims management keeping the claims manager updated on all technical, professional and industry developments.
• Continuously formulate, review all claims processes and procedures ensuring compliance to the established set standards as contained in the claims operational manual.
• Monitoring overall costs of claims department and ensure 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 and analyze reports and take appropriate action.
• Appointing service providers and follow up reports from the providers as per the SLAs
• Notifying Underwriting Department on any critical matters that become apparent at the claims stage.
• Liaising with other departments and branches.

Job Holders Specifications:

Education / Qualifications:

• IIK or its equivalents University Degree is an added advantage

Experience:

• Minimum 5-year experience in non-motor claims