Claims Assistant job at Britam | Apply Now

Responsibilities:

• Registration of all new claims promptly and acknowledging receipt of the same.

• Processing and payment of Individual life, Group Life, Retrenchment, NHIF and Credit Life claims and benefits.

• Assembling and analyzing claims to establish liability.

• Monitor and ensure that the key interfaces adhere to the set claims handling standards and escalate non adherence to the management.

• Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.

• Respond to both internal claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms.

• Record all claims transactions and maintain accurate claims registers.

• Continuously review of claim accruals to minimize claim reserves.

• Audit and reporting on potential Unclaimed Assets set to be registered with UFAA.

• Capture and maintain accurate data to ensure data integrity.

• Ensure compliance with all regulations.

• Handling customer queries & correspondence on individual life policies to enhance seamless customer experience.

• Prepare claims management reports on a monthly basis or as otherwise advised.

• Facilitating the process of Group & Credit scheme renewals.

• Follow through to ensure all claims with issues at registration level have been addressed or escalated for action.

• Ensure that all claim documents received for Group & Credit Life claims are uploaded and indexed to Document Management System.

• Vetting and analyzing Group & Credit claims as per scope of cover whilst ensuring strict adherence to set guidelines and TAT.

• Monthly tracking of insured reimbursement claims with respective underwriters for payment.

• Reconciliation of reimbursement claims and ensuring all the claims are paid within the agreed TAT.

• Perform daily (or weekly) reconciliations and reviews for both financial transactions and LoB Systems.

• Monthly Quality Assurance assessments.

• Notify brokers and clients of pended and declined claims within set timelines.

• Prepare executive presentations and reports to facilitate project evaluation and process improvement.

• Adhere to claims manual procedures and process.