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Key Outputs/Responsibilities

• Registering new claims in consultation with relevant underwriting department to ascertain policy cover and application.

• Studying claims documents to ensure the claim is fully and accurately documented and call for outstanding documents to enable claim processing.

• Notifying reinsurers / co-insurers of new claims; keeping them updated on claim progress and forward copy documents for their records.

• Interpreting insurance policies and contracts, establishing and adjusting/updating reserves in accordance with company policies and guidelines.

• Evaluating each claim assigned and conducting investigations where necessary.

• Developing plans for investigation of claims and gather all necessary documents and information.

• Appointing loss Adjusters /Investigators when necessary.

• Communicating with adjusters, claimants, the insured, and other relevant parties to determine liability and coverage.

• Initiating recovery and follow up action against third parties, reinsurers, and maintaining an up to date recovery register/diary system.

• Maintaining proper files for claims by collecting and organizing all relevant documents and set up new claims using the footprint system.

• Responding to correspondence and enquiries regarding policy coverage or claims and provide information as requested, and making telephone calls to obtain or supply information as necessary.

• Preparing claims reports such as Commissioner of Insurance monthly reports, new claim register reports, claim experience report, IRA reports etc.

• Issuing demand letter and follow up recovery/refund excess as appropriate

• Any other duty assigned from time to time.