Claims Analyst

Britam

Job description

Job Purpose

Processing and payment of general insurance claims

Key Responsibilities

  • Review the policy to determine which charges are eligible for reimbursement
  • Monitor and ensure that the key interfaces adhere to the set claims handling standards and escalate non adherence to the management
  • Maintain a register of claims to be recovered
  • Adjust and maintain correct claims reserves
  • Generate monthly reports on all the claims processed
  • Verify and update information on submitted claims
  • Attend to client queries on claims
  • Analyse claims supporting documents to establish liability
  • Perform any other duties as may be assigned from time to time

Key Performance Measures

Working relationships

Internal Relationships

  • Accountable to the Supervisor, Claims
  • Required to liaise and work closely with the other departments as may be necessary

External Relationships

  • Service providers
  • Britam Customers

Knowledge, Experience And Qualifications Required

  • Bachelors’ degree in Commerce, Insurance option
  • Four years’ experience in claims handling in a busy insurance office

Competencies

Technical and functional competencies

  • Knowledge of insurance industry and concepts
  • Knowledge of claims processes and procedures
  • Knowledge of insurance regulatory requirements

Core competencies

  • Communication skills
  • Building Relationships
  • Focuses on the Customers
  • Develops Self
  • Solves Problems