Job Summary
The purpose of the position is to undertake retail and corporate claims processing to ensure timely settlement of claims within the stipulated Liberty Life guidelines on claims management.
Key Responsibilities
Process claims accurately and in a timely fashion as per the provided guidelines to ensure the achievement of the set customer service standards
Analyze the documentation submitted by clients to ensure the information supplied is credible in line with the Liberty Life guidelines on claims processing
Register all new claims promptly and acknowledging receipt of the same
Assemble and analyze claims to establish liability
Advise claimants regarding basic matters about their insurance coverage in relation to the insurance claim
Respond to both internal and external claims inquiries concerning claims process, service providers, and the filing/completion of proper forms
Record all claims transactions
Prepare claims registers for claims meetings and update the various claims reports
Keep claims records as per the Liberty Life guidelines on record management to ensure ease in accessibility of information and data integrity
Maintain the claims register to ensure accuracy in data
Prepare quality reports in a timely manner to ensure timely submission for review
Create & reconcile claims reserves, and make reinsurance recoveries upon settlement - group life
Reconcile claim reserves and paid claims - retail
Manage the maturity and surrender suspense including premium refunds
Process/disburse pension claims and other related payments including withholding taxes, trustees and service providers' fees
Qualifications
Bachelor's degree in insurance or a business-related field
Professional qualification in Insurance (LOMA, ACII, AIIK)
Experience
At least 2 years' experience in claims, underwriting or pension administration role in the life insurance industry
Competencies
In depth understanding of insurance operations and concepts
Knowledge of insurance regulatory requirements
Knowledge of claims procedures
Effective business management skills
Demonstrable commercial and financial management experience
Excellent organizational and stakeholder management skills
Customer service skills
Timely processing of claims
Accuracy of information supplied for claims processing
Customer feedback on the quality of support provided on claims issues
Timeliness and quality of reports submitted for review
Timeliness and accuracy in the maintenance of the claims register
Business acumen