Directline
We
are looking for a motivated and qualified professional to fill the position of Claims
Officer.
Overall
Purpose of the Job: The role holder will be
responsible for the management, analysis and processing of claims.
Key
Roles and Responsibilities
· Manage
and process all own damage (OD), third party property damage (TPPD) and Non
Motor claims and make sure they are finalized with minimum delays and at the
lowest market cost.
· Follow
up on progress of repairs of insured’s vehicles ensuring, all repairs are
carried out professionally and in a cost effective manner. Ensure the company
does not incur expenses for damages not related to the accident.
· Conduct
claim review and ensure that the system data of the claims is always accurate
· Detect
and highlight fraudulent claims for investigations.
· Make
sure claims are fully documented and where applicable, the policy excess and/or
any other payment is recovered in compliance with the policy terms and
conditions.
· Appoint
Service Providers upon receipt of claim notification and claim documents review
and to follow up on their reports within the agreed turnaround times.
· Receive
and critically analyze the service provider’s reports upon receipt and make
recommendations thereof for approval within agreed timelines.
· Liaise with service providers in the claims handling system to ensure that fast and efficient service standards are maintained as per the provisions of the service level agreement.
· Confirm
and process claims and service providers payments
· Manage
and maintain a record of all salvages due for disposal as per the company
disposal policy.
· Pursue
on claim recoveries from third parties.
· Continuous
review of files for reserve adequacy and closure of inactive and or finalized
claim files.
· Respond
to correspondences and any other communication within the agreed timelines.
· Advise
management on any adverse claim experience to assist in risk management and
product review.
· Provide
claims and management reports as may be requested.
· Attend
to claims complaints within the agreed turn round times.
· Any
other duties as may be assigned from time to time
Person
Specifications
Academic
Qualifications
· University
degree in Law/Insurance/Business Administration or its equivalent from a
recognized institution
Professional
Qualifications
· Certificate
of Insurance (COP)
· Diploma
in insurance from AIIK/ACII or its equivalent from a recognized institution
· Membership
to a relevant professional body will be an added advantage
Experience
· Minimum
3 years’ relevant experience in general insurance claims management in a busy
Insurance Company
Skills
and Attributes
· Excellent
communication and presentation skills
· Excellent
interpersonal and negotiation skills
· Strong
analytical skills and great attention to details
· Self-driven,
works with minimal supervision
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 Thursday, 9th March 2023.
