Senior Claims Analyst - UIC job at UAP Old Mutual Life Assurance | Apply Now

• Manage claim correspondence and keep clients updated on progress.

• Raise payment requisitions and track cheque issuance.

• Ensure complete documentation and timely processing of claims.

• Review weekly AIMS claims reports, verify claim handling and reserves.

• Monitor claims turnaround time and ensure compliance with ISO 9001 and QOP standards.

• Distribute and supervise work within the section; evaluate performance against service standards.

• Track service provider performance and adherence to contract terms; maintain assignment database.

• Process service provider fee notes and ensure timely reconciliation of accounts.

• Host quarterly performance review meetings with service providers.

• Approve claim settlements within authority limits, ensuring accuracy and preventing leakage.

• Keep clients informed to reduce complaints; maintain acceptable backlog levels.

• Manage counteroffers and follow up on settlement acceptances.

• Supervise claims analysts’ output; balance workloads to maintain efficiency.

• Identify and address training needs; enhance staff skills through continuous learning.

• Refer third-party recovery claims appropriately and maintain tracking systems.

• Handle reinsurance processes: notify reinsurers, update progress, and pursue recoveries.

• Control claims settlement costs; maintain database of payments and analyze fees.

• Detect and report fraud; ensure action is taken.

• Prepare statutory and management reports; liaise with auditors and stakeholders.

• Draft and submit ex-gratia requests.

• Resolve customer complaints promptly and maintain records.

• Manage and review claim reserves regularly.

• Collaborate with underwriting to support risk assessment and policy accuracy.

• Participate in recruitment and retention of qualified staff for the claims team.

• Provide leadership, task planning, and performance monitoring within the unit.

• Perform other duties as assigned by the Claims Manager.

Compliance & Risk

• Ensure full adherence to Compliance, Anti-Money Laundering (AML), and Sanctions policies.

• Execute and monitor KYC, CDD, and EDD processes.

• Report unusual activities or potential breaches to the Risk and Compliance Office.

Required Qualifications

• Education:

  • Bachelor’s Degree in Business Administration (Required)

  • Diploma or Advanced Certificate in Insurance (Required)

Key Skills & Competencies

• Claims Processing & Reporting

• Customer Service & Follow-Up

• Decision Making & Problem Solving

• Risk & Fraud Management

• Strong Communication & Leadership Skills

• Data Analysis & Digital Literacy

• Compliance, AML & KYC expertise

• Team Management & Performance Monitoring

Core Competencies

• Ensures Accountability

• Decision Quality

• Directs Work

• Manages Complexity

• Tech Savvy

• Optimizes Work Processes

• Plans and Aligns