Claims Officer

APA Life Assurance Company Ltd

Apollo Group (Apollo Investments Limited)was an idea born from the need to harness synergies across the insurance business. Built on commitment, integrity and innovation, it has risen to be one of the leading financial groups in East Africa.

Apollo Investments Limited (AIL) includes APA Insurance (Kenya and Uganda). It underwrites General Insurance risks ...

Claims Officer

• Job Type Full Time
• Qualification BA/BSc/HND
• Experience 4 years
• Location Nairobi
• Job Field Insurance

KEY PRIMARY RESPONSIBILITIES

• Providing advice on making a claim and the processes involved
• Processing new insurance claims notifications
• Collecting accurate information and documents to proceed with a claim
• Analyzing a claim made by a policymaker
• Contacting service providers, a network of approved professionals and arranging for them to make repairs on the policyholder's property
• Monitoring the progress of a claim
• Investigating potentially fraudulent claims
• Identifying reasons why full payment may not be made
• Ensuring fair settlement of a valid claim
• Building relationships with loss adjusters, forensic accountants and solicitors, as well as other legal/claims professionals
• Ensuring the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines
• Handling any complaints associated with a claim
• Initiating legal recovery of monies paid out
• Maintaining good broker relations
• Keeping cost at a bare minimum
• Adhering to legal requirements, industry regulations and customer quality standards set by the company.
• Ensuring premiums are settled prior to claim processing.
• Liaising with the underwriting department for policy terms and endorsements.
• Advising on loss making/non performing brokers.
• Ensuring that all enquiries by clients and or stakeholders are responded to promptly and appropriately.
• Ensuring that discharge vouchers are dispatched and settled as per the guidelines.
• Ensuring that records in respect of claims processed are available and maintained correctly for effectiveness in responding to policyholders’ queries.
• Regular briefing to the departmental manager and making consultations.
• Entering claims data to the system
• Assisting and training new staff on work procedures and company policies to ensure effective client service
• Participating and contributing in meetings, discussions and consultations with other team members to ensure that all hindrances to job performance are addressed in good time.

ACADEMIC QUALIFICATIONS

• Bachelor’s degree in relevant field

SKILLS AND ATTRIBUTES

• Team Player
• Negotiation Skills
• Interpersonal Skills
• Interpersonal and Communication skills
• Integrity

PROFESSIONAL QUALIFICATIONS

• ACII/AIIK

KNOWLEDGE AND EXPERIENCE

• At least 4 years relevant experience in Insurance