Claims Analyst, Branches at Heritage Insurance

Job Summary

The role is responsible for processing and payment of general insurance claims in accordance with the set standards and guidelines.

Key Responsibilities

• Process claims accurately and in a timely fashion as per customer charter and agreed Service Level Agreements
• Review documents and pertinent requirements regarding an insurance claim to establish liability
• Ensure that the insurance claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim
• Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim
• Respond to both internal and external claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms
• Timely and accurate maintenance of claims register.
• Track and follow up on receipt of necessary forms
• Capture and maintain accurate date to ensure data integrity
• Prepare periodic reports and any other ad hoc reports as may be required by management
• Maintain a high level of service to customers at all points of contact such as telephone calls, emails letters or personal visits
• Prompt attention to complaints
• Appoint service providers such as assessors, investigators and loss adjusters
• Receiving new claim notifications, registering, setting up reserves and calling for supporting documents.
• Issue letters for fitting windscreen and radio cassette and ensure fitters adhere to the set catalogue prices.

Qualifications

• Bachelor’s degree in Insurance, Economics or other business related discipline
• Progress towards Diploma in Insurance (ACII or AIIK), (at least 3 papers or equivalent)

Experience

2 years’ experience in claims management

Competencies

• Understanding of insurance operations and concepts
• Knowledge of insurance regulatory requirements
• Knowledge of claims procedures
• Excellent organizational and stakeholder management skills