Zamara Kenya – Assistant Risk Consultant (Claims).

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About the job

The Zamara Group is a diversified financial services business specializing in pensions, medical services, insurance and actuarial solutions. Headquartered in Nairobi, Kenya, the Group has a presence in six countries and a Pan-African ambition. Zamara has a rich heritage in Kenya spanning over 27 years.

Since its inception, the firm has significantly grown in terms of size, client base and range of services. The Group has been at the forefront of industry, influencing the way it works and at the cutting edge of innovation.

Zamara’s higher purpose is to create a financially secure and prosperous society. The Zamara culture is based on the values of Simplicity, Empathy and Trust.

The successful candidate will be responsible for ensuring seamless service delivery to clients by offering support and assistance to general insurance policy holders through the claims processes in accordance with company regulations and departmental standards of services whilst maintaining cordial customer service always.

The role will report to the Senior Risk Consultant.

Roles and responsibilities

Claims Management

  • Requesting for claims documents, verifying, and updating the insured on any additional information required.
  • Timely registration of claims data into the system, for ease of management and reference.
  • Attending to client’s queries and resolving them soonest possible or escalating as per the escalation matrix
  • Timely dispatch of claims correspondences to the respective recipients
  • Reporting claims to the insurer within the set timelines
  • Analyzing claim documents shared by the client for completeness before forwarding to the insurance company.
  • Ensuring service providers i.e motor assessors, loss adjusters, investigators, advocates etc. are appointed as per the SLA.
  • Following up and ensuring payment refund to clients are settled as per the set SLA
  • Checking the underwriting file / policy document to determine scope of cover/charges that are eligible for reimbursement and advising the client accordingly.
  • Engaging service providers to ensure speedy and smooth processing of claims.
  • Forwarding Risk improvement recommendation to underwriting unit-based loss adjustment report and loss experience of a portfolio.
  • Advocating for settlement of borderlines claims on a timely manner-Ex-gratia
  • Any other duty assigned from time to time.

Experience and Personal Qualities

The following experience is preferred:

  • A Bachelor’s degree in a business related course
  • A Diploma in insurance
  • Minimum of one (1) year working experience in a similar role

The following personal qualities are preferred:

  • Team player
  • Capacity to build relationships
  • Problem solving
  • Self driven
  • Flexible to train
  • Analytical skills
  • Good interpersonal skills
  • Good knowledge of insurance policies
  • Highest level of personal and professional integrity
  • Ability to work well under pressure in a fast paced work environment

How To Apply

CLICK HERE TO APPLY

If your career aspirations match this opportunity, please send your CV on LinkedIn on or before 12.00 pm GMT, Tuesday, 4th January 2022

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