Regional Claims Administrator - Gen Property & Liability at Leadway Assurance Company

This role is responsible for assessing and processing all claims to Policy Holders and also ensuring that it is achieved within the recorded time (SLA) in order to retain and attract potential clients to the company.

The holder will actively maintain, update and navigate claim records for prompt claims resolution. The role also requires demonstration of a high level of accuracy and efficiency and the ability to prioritise and manage own workload, enabling the provision of relevant and timely information for effective reporting and decision making within the functional area. The role will support Underwriting, Risk Management & Reinsurance teams and other shared services in the business.

These will be achieved through effectively:

• Obtaining all necessary information on claims for the purpose of settling insurance claims.
• Determining whether the insured’s policy covers the claimed loss.
• Investigating claim cost, extent of damages and deciding an appropriate amount the company should pay out as claim.
• Negotiating claims settlements and authorizing claim payments
• Uncovering suspicious and fraudulent claims that require further investigation
• Maintaining a strong understanding of insurance policies and conferring with legal units on claims legal matters where necessary.
• Contributing to the continuous development of the claims process by identifying and implementing several opportunities for the development of products and process improvement
• Proactively seeking to clarify and resolve customers enquiries, claims compliant using the best method and initiative.
• Perform technical activities relevant to the business activities at a high level of accuracy and efficiency in accordance with agreed operating procedures.
• Protecting the interest of the company and insurance industry when dealing with claimants.
• Drive operational excellence and efficiency
• Adherence to TAT on technical service delivery at 98%

Stakeholder Management:

key stakeholders that the position holder will need to liaise/work with to be successful in this role.

Internal

• Management team
• Various functional unit with the technical and operation division
• Commercial / Share Service Units

External

• Regulator (NAICOM)
• Brokers/ Agents
• Competitors
• Direct Clients

Work cycle and impact: time horizon and nature of impact (Planning)

This role has various work cycle and impact grouping:

• Daily engagements: This may involve follow up with loss adjusters, engineers and claimants, it may also require attending internal and external meeting with claimant, Brokers, attending court sessions on litigation claims,
• Performance review: review of claim files for prompt settlement
• Dial in session: work from office, offsite and home

Qualifications

Academic:

• Bachelor’s Degree / HND  or equivalent from a recognized University (Business Related preferred)
• Master’s Degree is an added advantage.
• A professional qualification of ACIIN or its equivalent from other recognized professional Institutions.

Desired work experience:

• At least 2 years work experience in Technical division 2 out of which must be as a claims assessor or a related role.
• Excellent critical and analytical thinking with research proficiencies and decision-making skills with minimal supervision.
• Good mathematical skills to effectively assess damages.
• Working knowledge of the insurance industry and relevant regulations.
• Ability to use reasonable and sound judgment.
• Strong customer focus and service delivery skills.
• Proficient in MS Office tools i.e. Ms Word, Excel, and Power Point.
• Ability to work under pressure and meet strict deadlines.
• Good administrative and organizational skills.
• Strong interpersonal and negotiation skills.
• High attention to detail.