Claims Officer Job, Kenyan Insurance Jobs 2023, 

Responsibilities

Under the supervision of the Head of Claims, the incumbent will carry out the following functions:

• Review, processing, and settlement of claims per under Group Claims Underwriting Manual.


• Preparation of claims memos for supervisor approval and follow up with Finance team to ensure timely settlement per internal turnaround times.


• Review and acknowledge claims notification received from cedants and brokers.


• Maintain proper records of all claims notification and follow up to logical conclusion.


• Keep an audit trail of all reported claims.


• Respond promptly and accurately to cedants and brokers queries.


• Prompt processing of reported reinsurance claims recoveries and ensure reinsurance shares are correctly calculated.


• Prepare claims files for management review and approvals.


• Provide and deliver quality services to cedants and brokers.


• Promptly process and monitor the development of the outstanding claims provision.


• Generate and prepare progress claims reports (monthly/quarterly/annual) and any other management claim reports from the business objects reporting module of SICs system.


• Prompt request of claims supporting documents from cedants and brokers such as policy wordings, adjuster’s reports, cession bordereaux, debit notes etc.


• Review and timely processing of Cash Calls, as well as manage the follow up and reconciliation of cash call credit refunds.


• Review, recommendation, and processing of loss reserves.


• Review and flagging off contentious claims issues to supervisor such as wrong cessions to treaty/facultative contracts, liability attachment etc.


• Maintenance of notified claims lists report and follow up with clients for reserves updates and documentation.


• Review, monitoring, and processing of reinstatement premiums as well as maintenance of reports.


• Monitoring and validation of adjustment premiums for prior years and following up to ensure they have been processed timeously.


• Assistance on reconciliation of accounts on claims with outstanding premiums.

Qualifications

• University Degree in any discipline related to the role, plus a minimum of 5 years’ practical work experience – particularly in claims management.


• Relevant work experience in a claims department of a reinsurance company or reinsurance and/or claims department of an insurance company is a must.


• Relevant Professional Qualification would be an added advantage.


• Relevant Working Exposure in a Multicultural Environment will be an added advantage.