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Job Title:  Claims Assistant (General Insurance)

Organisation: Britam Asset Managers Company (Uganda)

Duty Station:  Kampala, Uganda

About the Company:

Britam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the East African region and offers a wide range of financial products and services in Insurance, Asset Management, Banking and Property. The product range includes life, health and general insurance, pensions, unit trusts, investment planning, wealth management, off-shore investments, retirement planning, discretionary portfolio management, property development and private equity.

Key Duties and Responsibilities:

Claims Processing

• Receive, register, and acknowledge claims from clients and intermediaries.
• Verify submitted claims documents for completeness and accuracy.
• Capture claims details into the claims management system promptly.
• Claims Assessment and Documentation
• Assist in assessing the validity of claims by cross-referencing policy terms and conditions.
• Ensure all supporting documents such as police reports, medical reports, or repair estimates are collected and recorded.
• Liaise with service providers (e.g., garages, hospitals) to verify claims information and costs.
• Carry out a thorough claims review process to ensure our reserves are up to date
• Maintain low loss ratios through thorough negotiations and assessments

Claims Settlement

• Follow up on claims approvals and payments within the stipulated timelines.
• Assist in resolving discrepancies or issues arising from claims processing.
• Prepare claims payment requests and ensure accurate records of payments made.

Customer Service

• Communicate with claimants and brokers to provide updates on the status of claims.
• Address and escalate client complaints or queries in a timely manner.
• Provide guidance to clients on claims submission requirements and procedures.

Compliance and Reporting

• Maintain proper filing of claims records for reference and audit purposes.
• Ensure all claims are processed in compliance with company policies, insurance regulations, and service-level agreements.
• Generate and submit periodic claims reports to the Claims Officer.

Collaboration and Teamwork

• Coordinate with underwriting, risk assessment, and legal teams on claims-related matters.
• Work closely with external assessors, surveyors, and investigators to facilitate claims processing.
• Support other team members during high workloads or tight deadlines.

Risk and Fraud Management

• Highlight suspicious or fraudulent claims to the Claims Officer for investigation.
• Assist in implementing controls to mitigate claims fraud risks.
• Reinsurance Claims Recoveries and Third-Party recoveries
• Communicate with reinsurers to notify them of claims and initiate the recovery process.
• Provide documentation for all reinsurance related claims to the reinsurers
• Follow up on reinsurance debt to monitor the status of reinsurance claims
• Provide regular updates and reports on recovery status, including any delays
• Work closely with claims, underwriting, finance and legal departments to ensure smooth reinsurance and third-party recovery process
• Ensure all documents and files related to third party recoveries are up to date with regular reporting.

Continuous Improvement

• Contribute to process improvements to enhance efficiency and customer satisfaction in claims handling.
• Stay updated on industry trends, regulatory changes, and claims management best practices.

Key Performance Measures

• Loss ratio
• Timely collected Reinsurance recoveries
• Superior customer experience
• Claims Turnaround Time
• 100% fraud lockout

Qualifications, Skills and Experience:

• Understanding of insurance principles, claims handling processes, and policy terms.
• Familiarity with Uganda’s insurance regulatory framework and industry best practices.
• Strong analytical and problem-solving skills to assess and validate claims.
• Attention to detail and accuracy in reviewing claim documentation and processing payments.
• Proficiency in Microsoft Office applications (Word, Excel, Outlook) and claims management systems.
• Strong communication and interpersonal skills for engaging with clients, brokers, service providers, and internal teams.
• Ability to work under pressure, meet deadlines, and manage multiple claims simultaneously.
• Customer service orientation with a focus on delivering excellent client experiences.

Experience:

• 1–2 years of experience in claims processing, underwriting, or a related role in the insurance industry.
• Experience handling general insurance claims is an added advantage.
• Previous experience working with brokers, loss adjusters, or service providers is beneficial.

Qualifications:

• A bachelor’s degree in Insurance, Business Administration, Actuarial Science, Law, or a related field.
• Professional certification in Insurance (Certificate or Diploma) is an added advantage.

How to Apply:

All candidates should apply online at the link below.

Click Here

Deadline: 6th February 2025

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