Directline Assurance Company
We are looking for a motivated and qualified professional to fill the position of Legal Manager.
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.
