The Claims Executive will deliver excellent customer service, analyse claims and underwriting policy documents, and determine the extent of the Company's liability.
Key Responsibilities
Register notifications of claims in the software, open claim files and allocate claim numbers.
Verify policy status.
Acknowledge claim notifications and request supporting claims documentation from claimants or brokers for review.
Schedule appointments with claimants or brokers to arrange post-loss inspections.
Assist field staff with investigations to ascertain the validity of reported claims.
Interpret policy wording, analyse and adjust claims to determine the extent of the Company's liability, and make recommendations to the Team Lead.
Communicate offers within 24 hours after all relevant approvals have been obtained.
Follow up and collect relevant title documents, recoveries and salvaged items from negligent third parties or insureds to reduce claims outlay before payment.
Prepare claim requisitions and vouchers for payments to claimants, co-insurers, solicitors and other professionals.
Review loss adjusters' reports, send copies to co-insurers and collate their opinions where applicable.
Prepare reports on paid and outstanding claims weekly, monthly and quarterly.
Process service agents' fees for payment.
Compute outstanding losses for the Reinsurance Unit.
Prepare weekly, monthly and quarterly claims reports and returns.
Requirements
First degree in any discipline.
CIIN certification is an added advantage.
3 - 5 years of progressive work experience as an Insurance Claims Executive.
Required Competencies
The ideal candidate should demonstrate excellence in: