Claims Officer at APA Life Assurance Company Ltd

Apollo Group (Apollo Investments Limited)was an idea born from the need to harness synergies across the insurance business. Built on commitment, integrity and innovation, it has risen to be one of the leading financial groups in East Africa. Apollo Investments Limited (AIL) includes APA Insurance (Kenya and Uganda). It underwrites General Insurance risks ...

 

Claims Officer

  • Job TypeFull Time
  • QualificationBA/BSc/HND , Diploma
  • Experience6 years
  • LocationNairobi
  • Job FieldInsurance 

KEY PRIMARY RESPONSIBILITIES

  • Assessing, registering claims, acknowledging and making recommendations or approvals in line with the Authorization framework & Service Levels Agreements(SLA’s).
  • Following up with finance on all claims settled for quick disbursement of claims funds. 
  • Reviewing claims documents & reports and making suitable recommendations. 
  • Preparing claims files notes, organizing claims committee meeting meetings.
  • Communicating claims decisions to clients and Brokers as per the TAT’s.
  • Liaising with reinsurers and other service provider on complex claims. 
  • Performing reinsurance recovery for claims settled. 
  • Making recommendations for investigation for all suspicious claims. 
  • Providing input to business development and underwriting on how to improve products and processes. 
  • Reviewing claims outstanding, engaging clients and Brokers on outstanding claims documents. 
  • Attending to clients/Brokers by ensuring their claims issues/concerns are addressed within turnaround time(TAT’s) and SLA’s in place. 
  • Improving and enhancing core system to improve automation and digitization;
  • Reviewing of claims process manual;
  • Participating fully in all quality processes improvement, including ISO;
  • Performing monthly reconciliation and sign off with Finance on settled claims.
  • Strict adherence to customer charter, compliance issues by working and collaborating with Customer service teams, Risk, Audit, AKI and the Regulators.
  • Monitoring & maintaining accurate records and up to date claims records both physical and in LMS 
  • Safe keeping and proper use of all company documents, records and moveable assets assigned to the Team.
  • Providing management with the necessary claims reports and confidential reports on claims matters;
  • Attending to all client’s/Brokers complaints until successfully resolved.

GENERIC DUTIES

  • Preparing and monitor monthly and annual budgets for the respective teams through weekly, monthly and quarterly production reports and targets.
  • Entrenching performance based appraisal of staff in line with their set KPIs and departmental targets.
  • Participating in company CSR and brand building activities in liaison with other departments

ACADEMIC QUALIFICATIONS

  • Bachelor’s degree in Insurance/Actuarial Science or an equivalent.

JOB SKILLS AND REQUIREMENTS

  • Leadership skills
  • Negotiation Skills
  • Time management skills
  • Good negotiation skills
  • Underwriting skills
  • Interpersonal and Communication skills

PROFESSIONAL QUALIFICATIONS

  • Diploma in CII/IIK

EXPERIENCE

  • At least 6 years’ relevant experience.

Check how your CV aligns with this job

Method of Application

Interested and qualified? Go to APA Life Assurance Company Ltd on www.apainsurance.org to apply

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