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Jobs and Vacancies in Directline Assurance, Kenya

Directline Assurance Company

We are looking for a motivated and qualified professional to fill the position of Legal Manager.
Overall Purpose of the Job: Supervise, manage and coordinate under the general direction of the Head of Claims & Legal, the allocated Team of Associate Advocates and Legal Assistants and ensure that the highest quality of service is rendered to the Company and the client.
Key Roles and Responsibilities

·         Lead in development and implementation of the legal strategy in order to minimize loss ratio and stock as per the set target.
·         Assisting the Head of Claims & Legal in ensuring that the firm meets standards and expectations set out by the partners and expected by clients
·         Ensure timely preparation of defense strategies and witnesses for liability & fraud matters; and that assigned staff are able to dismiss these matters in court.
·         Enable timely, cost effective negotiation and settlement of genuine claims.
·         Ensure court judgments are paid within the stay of execution period.
·         Ensure the diary allocation is done on all matters on a weekly basis.
·         To offer leadership, managerial direction, guidance and support to staff at junior levels.
·         To ensure that the firm’s policies and procedures are adhered to and that resources are managed effectively.
·         To safeguard and promote welfare of staff by ensuring quality of service offered and training of new employees.
·         Preparation of reports.
·         Ensure compliance of the orders passed by courts and other regulatory and administrative bodies.
·         Regularly monitors the accuracy, completeness and timeliness of case processing activities.
·         To monitor systems, work flow for efficient administration of the firm.
·         To be involved in the recruitment, training and retention of staff.
·         Assist the Head of Claims & Legal in developing a management style which balances the need to exercise control and give direction with the need to offer staff the opportunity to contribute to decision making.
·         Reporting and assisting the Head of Claims & Legal in issues in relation to conduct and competence of staff.
·         Reporting and assisting the Head of Claims & Legal in resolving issues and conflicts of staff motivation and morale.
·         Identify and resolve issues and conflicts with the client.
·         Promoting personal and professional development through the appropriate delegation of duties.
·         Analyze and utilize financial and legal data to develop and implement appropriate legal strategies.
·         Respond to and follow up legal enquiries and instructions from both the court and file advocate with the client.
·         Deal and respond to issues raised by the client with respect to the firm’s performance.
·         Establish and maintain appropriate systems for measuring court advocates performances and their court attendances.
·         Act with integrity while upholding the organizations values, ethical and professional standards at all times.
·         Delegation of tasks and responsibilities
·         Any other duty that may be assigned.
Person Specifications
Academic Qualifications
·         Bachelor of Laws (LLB) degree from an institution recognized by Commission for Higher Education
Professional Qualifications
·         Diploma in Law(KSL) and Admission as an Advocate with a current practicing Certificate;
·         Proficiency in use of computer applications;
Experience
·         At least 5 Years Post Admission experience in Litigation
·         Experience in dealing with PSV will be an added advantage.
Skills and Attributes
·         Organizational, conceptual and analytical, managerial and decision making skills;
·         Ability to get well with diverse workforce;
·         Honesty and integrity;
·         Positive working attitude;
·         Excellent litigation and negotiation skills
·         Ability to give and take instructions;

We are looking for motivated and qualified professionals to fill the position of Claims Officer (Consultant).
Overall Purpose of the Job: The Claims Officer (Consultant) is responsible for negotiations and out of court settlement of claims.
Key Roles and Responsibilities
Investigations
·         Conduct thorough and detailed analysis of claim documents to enable early fraud detection and to effectively address the fraudulent claims within the company’s policies and guidelines.
·         Ensure that injury verification and investigations instructions are issued within 48 hours after receipt of claim documents or new incident files. All relevant claim documents – under investigation must be attached to each instruction.

·         Liaise with the investigation department in order to follow up on the pending reports.
·         Review the investigation reports to ensure that all the information requested or that is required has been given and rejecting/reissuing the instruction of the same if it is incomplete or does not address the issues raised in the instructions.
·         Obtain adequate evidence through the investigators to ensure that fraudulent claims are dismissed in court. The information should be obtained prior to the claim turning legal.
Injuries verification and medical re-examinations
·         Liaise with the medical department, towards ensuring prompt booking of claimants for re-examination and follow up on medical reports.
·         Obtain interpretation of complex injuries and drugs administered from the medical department through a nurse’s summary.
·         Ensure that the injuries, treatment and medication given relate to road traffic accidents.
·         Follow up on reports from specialized doctors when the claimant is referred to them by the medical department
·         Ensure the medical reports are correct, and that the required verification of injuries has been properly done and documented. Rejecting incomplete medical reports
Claims and incidents management
·         Ensure that data is accurately and efficiently updated in the claims system resulting in the system data being a reflection of the physical file through proper update of the system data of the claims and incidents. The data should be updated within 24 hours of receiving claim or incident documents.
·         Follow up on collection of policy excess from the insured and intermediaries
·         Ensure that review of claims and incident files fully comprehensive and completed within the set timelines.
·         Maintain proper and accurate reserves on claims and incidents, and ensure the relevant Journal Vouchers are presented for Approval within 24 hours of receipt of any additional information.
·         Ensure full documentation of claims and incident files by following up the insured, claimant or his advocate for any outstanding documents.
·         Prepare the liability analysis and obtaining approval on the same within 48 hours of the investigation report being received.
·         Issue instructions to the Company’s advocates when matters turn legal.
·         Pursue any due recoveries from the insured and third parties, and ensuring that insured or his employee supplies all the requisite documents required to successfully pursue the recovery.
·         Conduct proper factual and legal research required for achievement of the strategy on the claims.
·         Engage with third party service providers where necessary to build evidence on liability, medical injury disputes etc.
·         Ensure timely preparation of claims files for negotiation or defence.
·         Settle genuine claims prior to the claimant or third party advocate pursuing compensation through the courts.
·         Prepare monthly claim reports for internal and external use and any other periodical reports as may be directed.
General duties
·         Address enquiries in the interpretation of the policy document.
·         Monitor changes in relevant legislation and the regulatory environment, and advising the company on the impact of such changes.
·         Attend court to represent the company as a witness or any other capacity as may be approved by the Company.
·         Maintain highest level confidentiality concerning the sensitive, strategic and integral legal and other information, data, decisions and developments taking place at the company.
·         Participate in and offer valuable advice to the Company and Departmental Committees which you are nominated or elected to.
·         Any other duty that may be assigned from time to time.
Compensation will be commission based.
Person Specifications
Academic Qualifications
·         University degree from an institution recognized by Commission for Higher Education
·         Minimum Overall Grade of C+ in KCSE
Professional Qualifications
·         Certificate of Insurance (COP)
·         AIIK Diploma/CII Diploma or any insurance related qualification will be an added advantage
Experience
·         At least 2 years’ experience in Claims management preferably within an Insurance Company OR Intermediary.
·         Experience in dealing with PSV will be an added advantage.
Skills and Attributes
·         High level of integrity; Able to maintain utmost confidentiality of information in their possession
·         Excellent communication and presentation skills
·         Excellent interpersonal and negotiation skills
·         Excellent Client relationship skills
·         Have great attention to detail
Application Instructions
If you qualify for the above advertised role, kindly send us a detailed CV and Application Letter clearly demonstrating your fit as per the roles & responsibilities and the person specifications (academic/professional qualifications, experience, skills & attributes) listed above.
Applications that do not conform to the Application Instructions will not be considered.
Kindly send your application documents to human.resource@directline.co.ke to reach us on or before 5.00pm 29th December, 2018.

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