CLAIMS MANAGER

Key Duties & Responsibilities

• To be the single point of contact for the company on claims and manage the claims resolution process.
• Oversee the intake and processing of insurance claims for all classes of business loss based on coverage, appraisal and verifiable damage.
• Determining and delegating claims settlement authorization within the company
• Provide technical guidance to staff on claim investigation, reserving evaluation and resolution of claims.
• Conduct audits of the claims process with a view to improve efficiency and participant experience.
• Completes field re-inspections of vendor or employee claims to ensure proper claim handling and compliance with company procedures.
• Assists in the coordination of third party service providers in all claims process.
• Participates in training and/or mentoring of departmental staff
• Develops, analyzes and reports KPI’s useful in measuring team performance as well as the effectiveness of the claim’s operations.
• To maintain a verifiable claims register.
• Coaching and mentoring Claims team members to improve participant experience and practices for claim’s quality assurance.
• Report to CEO on service standards and compliance requirements with IRA
• Review complex claims cases with a view to resolve the amicably
• Management Responsibilities
• To be responsible for the set-up, management, and coordination of the claims department.
• Supervise & review performance of the Claims Department and other administrative matters.
• To be responsible for the coordination of outsourced specialists. 
• To report to the CEO and the Board on claims management performance.
• Participate in the review SLA agreement with 3rd Party providers.

Key Requirements

• Bachelor’s degree in Insurance or any business-related field.
• Diploma and Insurance
• Professional member - AIIK
• Minimum of Six (8) years of work experience
• 3 years working experience in similar role
• Excellent reporting skills.
• Attention to detail
• Quick execution on new concepts.
• Clear, precise, and concise communication.
• Commercial awareness
• High level of integrity, and ethical standards.
• Strong organizational skills
• Team management skills
• Collaboration Skills.
• Analytical Skills.