Job Advert: Claims Administrator
The claims administrator will be
responsible for documentation and processing of all claims payable by the
company under its contractual/policy obligations to its customers.
Responsibilities
- Review all claims allocated to you and ensure
that the system data of the claims is always accurate
- Detect fraudulent claims and collect proper
evidence to effectively repudiate and/or defend such claims.
- Pursue recovery from third parties and/or
third party insurers.
- Receive all the claim documents in the system
and ensure proper filing of the documents in the physical files.
- Create and maintain proper claim reserves and
ensure that all reserves adjustment Journal Vouchers are forwarded to
Accounts within 24 hours.
- Negotiate claims with third party insurers’,
advocates and claimants.
- Pursue recovery of policy excess and claim
documentation in compliance with the policy conditions.
- Manage and process all own damage and Third
Party Property 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.
- 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.
- Follow up on progress of repairs of insured’s
vehicles ensuring, all repairs are carried out professionally and in a
cost effective manner.
- Compare assessment reports, and give opinion,
conclusions and comments on the comparison and analysis assessment report
sheet
- Handle customer enquiries from Underwriting
and Sales departments on the company policy and the claims process and
give accurate and relevant information to these departments on the same.
- Process invoices from external assessors,
investigators and other service providers.
- Prepare daily, weekly and 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
Requirements
- Bachelor’s degree
- Insurance experience in dealing with Own
Damaged claims and recoveries
- At least 2 years’ experience.
- Technical knowledge on parts of a vehicle
- Must have negotiation skills
- Accuracy and attention to detail
- Aptitude for numbers and quantitative skills
Individuals who meet the above
requirements should send their applications to the email below stating their
current and expected salary along with a detailed CV to reach us on or before
5th December 2015.
Please indicate the job being applied
for in the subject heading of your email. Short listing is running concurrently
as applications are received.
Email: human.resource@directline.co.ke
