Britam is seeking an Assistant Claims Officer to join their team. The role holder will be responsible for the end-to-end processing and payment of general insurance claims, specifically for non-motor business. This involves reviewing documentation to ensure compliance with insurance claim requirements, advising claimants on their coverage, and managing communications with both internal and external stakeholders. The position plays a critical role in maintaining service level agreements (SLAs), managing financial reserves, and pursuing recoveries to optimize company resources.
Key Responsibilities
- Claims Documentation Review: Review documents and pertinent requirements regarding an insurance claim to ensure they are complete and comply with documentary requirements for non-motor claims.
- Claimant Advisory: Advise claimants regarding basic matters about their insurance coverage in relation to the insurance claim.
- Inquiry Management: Respond to both internal and external claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms.
- Case Tracking: Track and follow up on receipt of necessary claim supporting documents and ensure claim files are duly updated.
- Financial Processing: Process payments to insureds and service providers as per established SLAs and within the set Turnaround Times (TATs).
- Reserve Management: Maintain adequate initial reserves as per guidelines and participate in monthly, quarterly, and annual reserve reviews.
- Recoveries and Negotiations: Prepare and send initial demand letters for recovery matters, negotiate with service providers to realize savings, and initiate/pursue recovery under motor, XOL, or FacRe.
- Reporting and Compliance: Record and update all required registers across company systems and adhere to claims manual procedures and processes.
- Other Duties: Perform any other duties as may be assigned from time to time.
Qualifications, Experience, and Skills
- Education: Bachelor's degree in Commerce or a related field (Insurance option preferred).
- Professional Certifications: Progress in professional qualification in Insurance such as ACII, FLMI, or AIIK.
- Experience: 2-3 years of experience in insurance claims processing.
- Knowledge: Deep understanding of the insurance sector and claims manual procedures.
- Skills: Strong negotiation skills, attention to detail in document verification, excellent communication for handling inquiries, and proficiency in reserve management and data entry.
