Job Title: Claims
Administrator – Third Party Insurance
Reporting to: Claims Manager
Location: Nairobi
Company Profile: Our client is a leading provider of
innovative, reliable and affordable motor insurance services backed by
unmatched service for over 10 years in the transport industry.
Roles and Responsibilities:
- Manage and process all own damage claims coming in from insured and make sure they are finalised without delay and at the lowest market cost.
- Appoint Assessors and investigators within 24 hours of receipt of claim notification and to follow up on their reports for them to be ready within 48 hours of instructions.
- Follow up on progress of repairs of insured’s vehicles ensuring, all repairs are carried out professionally and in a cost effective manner.
- Create and maintain proper claim reserves and ensure that all reserves adjustment Journal Vouchers are forwarded to accounts within 24 hours.
- Conduct claim review and ensure that the system data of the claims is always accurate.
- Receive and critically analyse the Assessors and investigators reports within 24 hours of receipt and make recommendations thereof for approval by the Assessment/Claims Manager.
- Maintain a record of all salvages due for disposal and facilitate safe storage pending disposal.
- Co-ordinate with the Tender Committee to facilitate a speedy disposal of the salvages through the closed tender system.
- Handle correspondence with the insured and intermediaries.
- Pursue recovery of policy excess and claim documentation in compliance with the policy conditions.
- Receive all the claim documents in the system and ensure proper filing of the documents in the physical files.
- Detect and investigate fraudulent claims and collect proper evidence to effectively repudiate and/or defend such claims.
- Pursue recovery from third parties and/or third party insurers.
- Negotiate with third party insurers’, advocates and claimants.
- Handle customer enquiries on the company policy and the claims process and give accurate and relevant information on the same.
- Liaising with third party service providers in the claims handling system to ensure that fast and efficient service standards are maintained.
- Process invoices from external assessors, investigators and other service providers.
- Maintain and update a pricing record of spare parts for effective analysis of Assessors reports
- Prepare monthly claim reports for internal or external use as may be directed by the Company.
- Attend court for hearings as a witness in recovery proceedings.
- Any other duties that may be assigned
Qualifications
- Bachelors Degree in a relevant field
- Diploma/Certificate in Automotive Engineering.
- Diploma in Insurance.(mandatory for non-insurance degree holders)
- MS office skills
Knowledge and Experience
- At least two years working experience in motor insurance industry is compulsory.
- Must be conversant with names of motor vehicle body parts and the rates for parts and labour.
- Possess strong interpersonal, communication and negotiation skills.
- High moral and ethical standards with independence of mind and ability to defend his/her position on significant issues.
If
interested send in your CV and application letter to recruitkenya@kimberly-ryan.net indicating the job position on the job title.
