Claims Officer
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
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.
How to Apply
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