Claims Executive

Job Overview

• The Claims Executive will deliver excellent customer service, analyse claims and underwriting policy documents, and determine the extent of the Company's liability.

Key Responsibilities

• Register notifications of claims in the software, open claim files and allocate claim numbers.
• Verify policy status.
• Acknowledge claim notifications and request supporting claims documentation from claimants or brokers for review.
• Schedule appointments with claimants or brokers to arrange post-loss inspections.
• Assist field staff with investigations to ascertain the validity of reported claims.
• Interpret policy wording, analyse and adjust claims to determine the extent of the Company's liability, and make recommendations to the Team Lead.
• Communicate offers within 24 hours after all relevant approvals have been obtained.
• Follow up and collect relevant title documents, recoveries and salvaged items from negligent third parties or insureds to reduce claims outlay before payment.
• Prepare claim requisitions and vouchers for payments to claimants, co-insurers, solicitors and other professionals.
• Review loss adjusters' reports, send copies to co-insurers and collate their opinions where applicable.
• Prepare reports on paid and outstanding claims weekly, monthly and quarterly.
• Process service agents' fees for payment.
• Compute outstanding losses for the Reinsurance Unit.
• Prepare weekly, monthly and quarterly claims reports and returns.

Requirements

• First degree in any discipline.
• CIIN certification is an added advantage.
• 3–5 years of progressive work experience as an Insurance Claims Executive.

Required Competencies

• The ideal candidate should demonstrate excellence in:
• Verbal and written communication.
• Time management.
• Claims judgement.
• Business acumen.
• Organisational skills.
• Interpersonal skills.
• Underwriting skills.