Senior Claims Specialist emPLE General Insurance

DESCRIPTOR

• Follows standardised processes and provides administrative support in line with normal business functioning.
• Delivers on daily production standards and adheres to service and quality standards.
• Provides direct service to customers and intermediates.
• Responds to immediate requirements within procedure.
• Uses standard administrative techniques to coordinate own work.
• Product and process knowledge in different areas may differ but basic skills remain the same.
• Fraud Prevention and Investigationskills
• Prepare and communicate settlement offers and discharge vouchers to the insured their representatives or brokers ensuring accuracy and completeness.
• Liaise with other departments to facilitate prompt claims processing and adjusters payments including the preparation of executed discharge vouchers.
• Monitor and manage adjustment costs and expenses to ensure effective cost control.
• Fully multi-skilled across products and processes of all classes of insurance
• Prepare and review paid & outstanding claims reports for effective decision making.
• Processing claims through effective recovery of outstanding on FAC and subrogation related claims
• Preparation of Claims Approval Memo and Claims Requisition till final settlement stage
• Preparation of Regulatory Returns for the use of stakeholder
• Uses standard administrative techniques to coordinate own work for efficient performance
• Assists Team lead on all claims processes for customer satisfaction
• Interface with the other departments for prompt services

KEY RESULT AREAS

Personal Effectiveness:

• Accountable for service delivery through own efforts.
• Individually accountable for managing own time tasks and output quality.
• Makes increased contributions/effort in broadening individual skills.
• Collaborates effectively with others to achieve personal results.
• Accepts and lives the company values.

Coaching:

• May act as mentor to less experienced administrators in the technical department

Documentation Processing:

• Follows standardised processes and provides administrative support in line with normal business functioning.
• Responds to immediate administrative requirements within procedure.
• Follows standardised processes and provides administrative support in line with normal business functioning.
• Delivers on daily production standards.
• Uses standard administrative techniques to coordinate own work.

Relationship Building:

• Establishes and maintains relationships with internal stakeholders.
• Builds and manages internal/external relationships.
• Manage internal/external Customer Complaints.

Quality Assurance:

• Performs quality checks on own work and other members of the unit
• Adheres to service and quality standards.

Qualifications and Experience

• A first degree or its equivalent in relevant field
• Chartered Insurance certification would be an added advantage
• Excellent communication skills (verbal and written)
• Very good interpersonal skills
• Good knowledge of MS packages (Word Excel etc.)
• Has at least 7 years relevant experience on the job
• Associate member of Chattered Insurance Institute of Nigeria (CIIN)