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Claims Assistant
Job Summary
The Claims Assistant is responsible for assisting with claim management within the set guidelines while protecting the company from paying un-payable claims.
Roles And Responsibilities
- Record and process all claims transactions to ensure they are accurately entered in the system.
- Register claims upon receipt from various entities i.e. Brokers, Agent and direct clients.
- Issue Discharge vouchers for claims that are fully documented and verified.
- Attend to all claims promptly and to arrange surveys if required in consultation with supervisor.
- Follow-up of recovery claims and reconciliation of accounts with other insurance companies.
- Obtain quotations when necessary in respect of labor charges and repair/replacement cost in case of property damage.
- Create and maintain relationship with counterparts with co-insurers and other local insurance companies.
- Liaise with assessors and investigators in cases of third party injuries/property damage.
- Liaise with underwriters to verify information pertaining to claims.
- Closely co-ordinate with Accounts Department for reconciliation and follow-up of insurance company balances.
- Prepare preliminary demand letters to negligent third parties.
- Process the various invoices received for payment and to ensure that the invoices are settled within reasonable time.
- Send loss advises to co-insurers and/or other insurance companies in case of recovery of claims.
- Assist the Claims Officer in preparing outstanding claims list periodically to ascertain that adequate reserves are maintained and also the same is in line with the reserve recommended in the reports.
- Review list of recovery claims once in a quarter and to initiate action in cases of non-recovery.
Requirements Academic And Professional Qualifications
- Bachelor of Commerce (Insurance option) or related discipline from a reputable university.
- Professional qualification(s) in insurance e.g. ACII, FCII or equivalent considered an added advantage.
Experience
- Atleast 2 years experience in claims management
Core Technical Competencies Required For The Job
- High level interpersonal and cross-cultural skills, including ability to build alliances and collaborative relationships with sensitivity to diversity.
- Must be a self-starter, highly organized, and able to work well with people at all levels in the organization.
- High levels of integrity.
- Strategic thinking and problem-solving skills.
- Analytical and creative thinking skills.
- Good customer relationship management skills (internal and external customers).
- Good communications skills, both written and verbal.
- Good organizational and time-management skills.
- Positive attitude, self-motivated, self-driven and able to work with minimal supervision.
- Good negotiation skills and persuasiveness.
- Trustworthiness and discretion when handling confidential information.
- A smart appearance and professional manner.
- Proficient knowledge in IT.
- Conflict resolution skills.
Legal Assistant
Job Summary
The Legal Assistant is responsible for assisting the legal department in registration of claims, filing of documents and appointment of approved service providers, processing payments, removing of claim files and forwarding documents to service providers.
Roles And Responsibilities
- Registering claims upon receipt of summons and demand letters.
- Liaising with underwriters to verify information pertaining to claims.
- Processing of payments of approved claims
- Closely co-ordination with Accounts Department for timely payment of judgments and fees for service providers.
- Recording and processing all claims transactions to ensure they are accurately entered in the system.
- Appointment of approved service providers’ .i.e. doctors, investigators and advocates as directed by the Head of Legal Section.
- Handling of correspondence in accordance with the mail procedure.
- Reviewing and amending reserves
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Performing Any Other Duties As Required
Requirements Academic and Professional Qualifications
- Bachelor Degree in Commerce or Business related discipline from a reputable university
- Professional qualification in insurance or business related discipline is an added advantage
Core Technical Competencies Required
- Must be a self-starter, highly organized, and able to work well with people at all levels in the organization.
- High levels of integrity.
- Analytical and creative thinking skills.
- Good customer relationship management skills (internal and external customers).
- Good communications skills, both written and verbal.
- Good organizational and time-management skills.
- Positive attitude, self-motivated, self-driven and able to work with minimal supervision.
- Good negotiation skills and persuasiveness.
- Trustworthiness and discretion when handling confidential information.
- A smart appearance and professional manner.
- Proficient knowledge in IT.
Legal Officer
Job Summary
Legal Officer is expected to be knowledgeable and experienced in all Insurance legal matters namely Motor Third Party Property and Injury cases, Employer’s liability/Common Law, Breach of contract of insurance, Tort, Employment Matters and legal disputes in commercial law.
Roles And Responsibilities
Handling of Recoveries
- Pursue recovery directly against third parties, insurance company through out of court negotiations and in court through the normal legal process.
- Prepare demand letters for all matters referred for recovery from claims department.
- Conduct tracing where necessary.
- Maintain a register for all recovery matters with properly marked status
- Prepare matters for filing in court before they are time barred
- Arrange for witnesses to attend court
- Attend court on behalf of the company to give evidence
- Ensure advocates forward all recovered monies to the company promptly.
- Process filing fees and advocates fees in recovery matters
- Report on all successful recoveries on a monthly basis.
- Conduct recoveries for motor and non-motor, GIT, Marine, Carriers liability
Handling of Judgements
- Maintain judgement register and appeals registers
- Review all judgements within 7 days of delivery
- Initiate negotiations and conclude within stay period
- Ensure all judgements are paid or appeal lodged within the stay period
- Issue notice to insureds for judgements above the policy limit
- Review all outstanding appeals
- Negotiate the appeals with guidance from supervisor.
- Ensure we recover in appeals any money due to the company
- Raise payments for judgements and advocates final fees
Hearings – Ensure all files coming up for hearing are reviewed before hearing date and instructions issued to dealing advocates.
- Maintain Hearing diary
- Opinions – All opinions by our advocates are reviewed and instructions given to the lawyers.
- Attend to advocates queries on matters pending in court.
- Secure attendance of witnesses in court.
Requirements Academic And Professional Qualifications
- Bachelor of Law degree (LLB)
- Legal Diploma (Dip. in Law, KSL)
- An advocate of the High Court
- Knowledge in insurance products, services, principles and practice
- Claims management and handling process in a legal section
- Excellent Verbal and written communication
- Cumulative 5 Years post admission experience in a legal department in an insurance company
Core Technical Competencies Required For The Role
- High level interpersonal and cross-cultural skills, including ability to build alliances and collaborative relationships with sensitivity to diversity.
- Must be a self-starter, highly organized, and able to work well with people at all levels in the organization.
- High levels of integrity.
- Strategic thinking and problem-solving skills.
- Analytical and creative thinking skills.
- Good customer relationship management skills (internal and external customers).
- Good communications skills, both written and verbal.
- Self-motivated but able to work as part of a team.
- Good organizational and time-management skills.
- Positive attitude, self-motivated, self-driven and able to work with minimal supervision.
- Good negotiation skills and persuasiveness.
- Confidence presenting to large groups of people.
- Trustworthiness and discretion when handling confidential information.
- A smart appearance and professional manner.
- Proficient knowledge in IT.