CLAIMS MANAGER

Main role:
The main role for this position is to effectively manage and direct all functions of the Claims Department including strategy formulation, implementation, budgeting, people management, expense control, quality control and service to both internal and external customers.

Duties & Responsibilities

• In liaison with the Chief Executive Officer/Principal Officer formulate, implement and monitor the claims department strategic plan.
• Prepare operational manuals, annual budget for the department and train staff to ensure compliance of processes and proper budgetary control.
• Co-ordinate and maintain expeditious and efficient processing of claims and ensure customer needs are attended to promptly.
• Ensure in-depth, investigation of actual claims through direct or indirect contact with policyholders and claimants ensuring that any detected fraud case is handled as per the organization policy.
• Ensure all applicable claims are reported accurately and timely to reinsurers as required by procedure.
• Analyze claims data to identify issues, and ensure that all relevant issues relating to underwriting policies, re-insurance arrangements, and product pricing are identified and communicated to relevant managers.
• Ensure compliance within the claims department in regard to statutory requirements/legal frameworks and industry requirements.
• Develop tools and recommendations for risk management / fraud detection in liaison with the internal audit, risk and compliance departments.
• Prepare weekly claims statistics and periodical claims report and other management reports relating to claims and ensure that remedial action, where applicable is taken promptly.
• Facilitate and support talent management, performance management and development whilst ensuring compliance with human resource policies/procedures.
• Build a supportive, team-orientated environment for the staff through embodying a sense of empowerment, demonstrating positive thinking and establishing common goals and interdependence with the employees.
• Any other duties that may be assigned by the Chief Executive Officer from time to time.

Minimum Qualifications & Experience

• Bachelor’s degree in Insurance, Actuarial Science, Business Administration, Economics, Finance or any other relevant field.
• A Master’s degree in Insurance, Business Administration, Economics, Finance, Strategic Management or any other relevant field will be an added advantage.
• Professional qualification in Insurance (ACII, FLMI or AIIK).
• Minimum of ten (10) years’ relevant experience.
• Proficient in Microsoft office suite.
• Experienced leader of diverse people and processes with ability to lead, develop and direct team members to deliver high         performance targets and standards.
• A demonstrated adaptability to drive change and transformation.