Claims Assistant at ICST Solutions

Duties & Responsibilities

• Acknowledgement and registration of all notified claims.
• Confirmation of claim details from the claim form submitted or from the loss description provided.
• Confirmation of policies being in force and if the notified claims are valid/admissible under the policy. If the policy is in force and the claim is valid, we confirm details from underwriters where necessary and prepare claim summary.If the policy is not in force or a claim is not valid, draft repudiation letter and send to customer directly or through customer care officer/broker etc.
• If the policy is in force, generate claim numbers after registration.
• Appropriate creation of reserves in line with applicable policy terms and conditions.
• Uploading claim documents on share point
• Appointment of Loss Adjusters and in-house Engineers upon getting requisite approval from Team Lead.
• Review of Adjusters' reports and preparing a summary (Interoffice memo) providing details about the circumstances surrounding the loss, net adjusted amount and our proportion.
• Adjustment of claims in line with policy terms and conditions.
• Communicating risk improvement measures to Underwriters.
• Confirmation of loss ratio for different policies and providing breakdown of incurred claims to the Underwriters.
• Preparation of NAICOM reports and other regulatory reports.

Job Requirements
Education:

• BSc / HND in Insurance or other related discipline.