JOB DETAILS:
To process claims expeditiously and professionally to meet customer’s expectations and the overall departmental objectives.
• Correspond with clients to acknowledge claim processing and update on progress regularly

• Obtaining adequately documents & processing claims within standards of service.

• Timely processing of claims as per the stipulated guidelines and procedures
• Records, registers and posts new claims and processes them within the set standards to ensure quality customer service is given.

• Set initial reserves for new claims and recommend reserve changes
• Close files as payment/recoveries are made
• Evaluate preliminary claim information and revert to broker or insured for more information where necessary to ensure that the correct information is documented for ease in processing the claim.
• Cross checks claim details (claim form) and other claim documents with policy specimen copies to ensure accuracy.

• Communicate to the customers through claim acknowledgement, update to intermediary/insured/claimant on claim status.
• Liaise with underwriting department by notifying them on risk improvement issues noted as well as reviewing of policy wordings on areas that need change in the policies.
• Assist in the determination of settlement amount and issue discharge vouchers for fully documented claims under instructions from claims manager/supervisor.
• Track claims by regularly updating the claims register to determine progress of the claim.
• Promptly attend to customers complaints and inquiries

Skills
Business, Claims Processing, Communication, Customer Service, Employee Relationships, Excellent organizational, planning and prioritizing skills, Guest Service, Motor Vehicles, Payment Handling, Processing, Teamwork, Underwriting

Education
Diploma (Dip): Insurance (Required), Honours Degree (Hons): Business Administration (Required)