Kenya Orient Insurance Limited – Assistant Claims Manager – Legal.

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Job Title: Assistant Claims Manager – Legal

Division / Department: Claims

Immediate Supervisor: Claims Manager

Overall Responsibility: The position is responsible for ensuring there is an efficient claims management process in Claims Department (Legal section) to the expected quality standards and within the Company’s service level benchmarks.

Specific focus will be on efficient and effective management of claims with respect to the set budget.

Key Tasks, Duties and Responsibilities

Financial

  • Approve claim payments in a timely manner after confirmation of admissibility.
  • Establish initial reserves for all reported claims and adjust as appropriate throughout the claim.
  • Enforcing the reserving policy following recommendations from the actuarial department.

Customer

  • Ensure all claims reported are processed expeditiously, within the company’s performance benchmarks.
  • Coordinate efforts among staff and other parties to achieve timely, equitable disposition of claims handled in the Claims Department.
  • Comply with customer protocols/service charter.

Process

  • Coordinates with professionals and specialists to help judge risk assessment
  • Oversees insurance claims for Motor Insurance coverage, appraisal, and verifiable damage.
  • Ensures complete and sound claim settlements, legal reviews and investigations in accordance with company policies and procedures.
  • Responsible for leading and directing a team of claims technicians/ brokers
  • Monitor service provider performance against the set standards and recommend action where need be.
  • Ensure in-depth, investigation of actual claims through direct or indirect contact with policyholders, claimants, investigators, attorneys, etc.
  • Enforcing the reserving policy following recommendations from the actuarial department.
  • Respond to correspondence and/or queries relating to legal claims
  • Analysis and approval of claim files within approval limit as per the prescribed turnaround time.
  • Ensure applicable claims are reported accurately and timely to Reinsurance Section as required by procedure.
  • Review, monitor and provide technical expertise to staff and ensure that there is systematic and adequate on job training.
  • Prepare the claims monthly report.
  • Review, monitor and provide technical expertise to staff and ensure that there is systematic and adequate on job training.
  • Deputize the Claims Manager.
  • Perform any other duties as required from time to time

Learning and Growth

  • Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
  • Review, monitor and provide technical expertise to staff and ensure that there is systematic and adequate on job training.
  • Monitor performance of the legal staff and seek interventions through training and mentorship where performance is low.

Requirements

  • Bachelor of Law degree
  • Post Graduate diploma in law / Admitted to the Bar as an advocate of the High Court
  • A diploma in Insurance (ACII, AIIK or equivalent)
  • 6 years of professional experience, two of which should be in Middle Management

Competencies & Skills

  • Communication- Job requires excellent communication (written, verbal and telephone.
  • Industry Knowledge- Job requires a professional/expert) in claims handling and management and knowledge of underwriting.
  • Analytical thinking- Job requires strong combination of interpersonal, analytical and strategic skills.
  • Good Judgment – Job requires decision-making skills.
  • Team working- Job requires ability to build relationships with all stakeholders and team members.

How to Apply:

If you are interested in the position and have the required qualifications, skills and experience, kindly CLICK HERE and apply on or before Friday, December 13th 2019.

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