Claims Officer

DUTIES / JOB DETAILS
Under the supervision of the Head of Claims, the incumbent will carry out the following functions:

• Review, processing, and settlement of claims per under Group Claims Underwriting Manual.
• Preparation of claims memos for supervisor approval and follow up with Finance team to ensure timely settlement per internal turnaround times.
• Review and acknowledge claims notification received from cedants and brokers.
• Maintain proper records of all claims notification and follow up to logical conclusion.
• Keep an audit trail of all reported claims.
• Respond promptly and accurately to cedants and brokers queries.
• Prompt processing of reported reinsurance claims recoveries and ensure reinsurance shares are correctly calculated.
• Prepare claims files for management review and approvals.
• Provide and deliver quality services to cedants and brokers.
• Promptly process and monitor the development of the outstanding claims provision.
• Generate and prepare progress claims reports (monthly/quarterly/annual) and any other management claim reports from the business objects reporting module of SICs system.
• Prompt request of claims supporting documents from cedants and brokers such as policy wordings, adjuster’s reports, cession bordereaux, debit notes etc.
• Review and timely processing of Cash Calls, as well as manage the follow up and reconciliation of cash call credit refunds.
• Review, recommendation, and processing of loss reserves.
• Review and flagging off contentious claims issues to supervisor such as wrong cessions to treaty/facultative contracts, liability attachment etc.
• Maintenance of notified claims lists report and follow up with clients for reserves updates and documentation.
• Review, monitoring, and processing of reinstatement premiums as well as maintenance of reports.
• Monitoring and validation of adjustment premiums for prior years and following up to ensure they have been processed timeously.
• Assistance on reconciliation of accounts on claims with outstanding premiums.

MINIMUM QUALIFICATIONS AND EXPERIENCE:

• University Degree in any discipline related to the role, plus a minimum of 5 years’ practical work experience - particularly in claims management.
• Relevant work experience in a claims department of a reinsurance company or reinsurance and/or claims department of an insurance company is a must.
• Relevant Professional Qualification would be an added advantage.
• Relevant Working Exposure in a Multicultural Environment will be an added advantage.