Assistant Legal Claims Officer
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.
- Advice customers regarding basic
matters about their insurance coverage in relation to the insurance claim.
- Respond to both internal and
external claims inquiries concerning benefits, claims processes, service
providers, and the filing/completion of proper forms.
- Record all claims transactions
including appointment of advocates, doctors and investigators.
- Ensure that matters allocated are
constantly tracked and updated in the registers.
- Update legal claims registers for
claims meetings and update the various claims reports.
- Track and follow up on appeal
deposits.
- Assist in giving advice on legal
issues, compile comprehensive file notes both in the event of judgments
and out of court matters.
- Assist in the review of reserves
as per the reserving guidelines.
- Assist in managing external
Advocates on Britam Panel of Advocates through pro-active interaction and
correspondences.
- Review advocates legal costs to
ensure that the same are within the SLA and Advocates Remuneration Order.
- Review status updates as received
by advocates in an effort to keep abreast with all ongoing briefs and
advice maintain adequate reserves based on the established reserving
guidelines and documentation received from the panel advocates.
- Process payments to insured’s and
service providers.
- Assist on Third party recoveries
when called upon to do so.
- 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 in LAW LLB
and PDG from KSL.
- Obtain the relevant CLE points in
every given year.
- 2-4 years’ experience in
insurance claims processing.
- Knowledge and experience in the
insurance sector and added advantage.
Leadership category
responsibility framework (Core Competencies):
Emerging Leaders in Britam need to:
- Plan, direct and apply
efficiencies and resources in order to optimize output and profitability
against time, cost and team targets.
- Effectively communicate strategic
and operational departmental goals and objectives to peers and others in
order to ensure proper implementation.
- Ensure that department priorities
are adhered to and effectively communicated.
- Ensure competent and effective
people resources through appropriate coaching, development and people
supervision as appropriate.
- Embody a high performance,
proactive culture.
- Effectively ensure the adherence
to key performance areas, deadlines and goals in order to optimise
operational effectiveness.
- Effectively communicate resource
needs, possible opportunities and achievements to management in order to
aid them in their decision-making.
- Understand and communicate
objectives in relation to the larger organisational impact.
- Effectively disseminate knowledge
within the correct context, towards subordinates as well as management.
- Appropriately model the company
values while setting the pace and energy for delivering.
- Effectively manage and
communicate change within the department in order to increase staff and
process effectiveness.
- Provide access to accurate and
consistent information and services across all channels.
- Ensure a seamless experience for
clients.
- Improve service delivery for
clients.
- Engage in continuous brand building
to become the trusted partners to clients.
Technical/ Functional competencies:
- Knowledge of insurance regulatory
requirements.
- Knowledge of insurance products.
- Sales and marketing management
skills.
How to Apply
