CLAIMS ASSISTANT – GENERAL BUSINESS (CONTRACT)

Purpose:

Responsible for efficiently handling claims and ensuring timely settlements.

Primary Responsibilities:

1. Register and Analyze Claims

• Advise clients on necessary claims documents and requirements.
• Analyze adjuster/investigators claim reports to recommend settlement/approval/admission.

2. Appoint Service Providers

• Identify and appoint suitable service providers as needed.

3. Process Claims

• Process fully documented claims promptly.
• Refer suspicious claims to the supervisor for further review.

4. Initiate Third Party Recoveries

• Prepare and send written demand letters for third-party recoveries.

5. Review Claims Reserves

• Monitor claims reserves regularly based on new developments and close files when all payments are made.

6. Manage Service Providers Payments

• Process invoices from service providers and ensure timely payments within set standards.

7. Issue Discharge Vouchers

• Issue discharge vouchers for all fully documented claims.

8. Handle Customer Queries and Complaints

• Attend to customer queries and complaints professionally and promptly.

9. Follow Up on Claims Payments

• Ensure timely follow-up on claims payments.

Key Skills, Knowledge, Experience, and Behavioral Competencies:

Academic and Professional Requirements

• Essential: Bachelor’s Degree in a relevant field.
• Essential: Computer literate in MS Office and other office applications.
• Desirable: Part qualification in a relevant professional field (Diploma in Insurance, ACCI/AIIK will be an added advantage).

Experience Required:

• Essential: At least 1 year of relevant experience.

Behavioral Competencies:

Core Competencies

1. Customer Focus
2. Business Acumen
3. Driving Innovation
4. Driving Business Performance
5. Negotiation and Influence
6. Effective Communication

Leadership Competency

1. Planning and Organizing
2. Accountability
3. Quality Decision Making
4. Building Partnerships
5. Continuous Learning
6. Emotional Intelligence
7. Conflict Management

Special Position Requirements (Optional section):

• Role holder may be required to work extended working hours to ensure jobs are completed on schedule and to specification.

Application Process:

If you possess the necessary academic and professional qualifications and are prepared to take on the above mandate, kindly apply through the link provided: https://cic.co.ke/career/, clearly indicating the position you are applying for.

The application deadline is 7th August 2023. Only short-listed candidates will be contacted. If you do not receive any communication from us by 8th September 2023, please consider your application unsuccessful.

EXPERT Tips To Be A Successful Applicant:

1. Highlight Relevant Experience: Emphasize any experience you have in claims handling, settlements, and customer service.
2. Showcase Your Education: If you have a Bachelor’s Degree in a relevant field and any professional qualifications, make sure to include them in your application.
3. Demonstrate Computer Literacy: Mention your proficiency in MS Office and other relevant office applications.
4. Highlight Behavioral Competencies: Address how you meet the core and leadership competencies listed in the job description.
5. Attention to Detail: In claims handling, precision is crucial. Mention your attention to detail in your application.
6. Effective Communication: Showcase your ability to communicate professionally with clients and colleagues.
7. Customer Focus: Stress your commitment to providing excellent customer service.
8. Flexibility: As the job may require extended working hours, demonstrate your flexibility and willingness to meet deadlines.
9. Positive Attitude: Display a positive attitude towards learning, adaptability, and teamwork.
10. Follow Instructions: Ensure you strictly follow the application process mentioned in the job description to increase your chances of being shortlisted.