Team Lead, Corporate Claims at Coronation Insurance Plc

Principal Duties & Responsibilities

• Negotiate with corporate customers on settlement amounts, terms and recovery actions in accordance with organization policies and procedures as well as applicable laws and regulations
• Communicate all claims decisions in a timely and appropriate manner and ensure that communication during the assessment process is regular, timely, and clearly documented.
• Determine if technical and/or high-value claims should be accepted based on results of claims analysis and reports from service providers
• Determine settlement amounts for technical and/or high-value insurance claims based on investigation outcomes
• Assess potential high-value fraudulent claims by evaluating documents and information collected against common indicators of frauds
• Interpret policy wordings and conditions to determine the validity of claims and advises the claimant accordingly
• Ensure claim matters are handled according to customer service standards and defined customer experience policies
• Review Key Performance Indicators (KPIs) relevant to each stage of the insurance claims process and propose recommendations to increase efficiency
• Identify claims trends to propose product design enhancements
• Determine appropriate modifications to business processes to ensure seamless transition and minimize resistance for claims handling
• Ensure accuracy of records and adherence to internal controls

Education and Work Experience

• Bachelor's Degree in Insurance or any related discipline
• Minimum of 7-9 years’ experience in claims with at least 3 years leading a team.
• Must possess a CIIN membership.

Required Skills and Competencies

• Demonstrate technical claims knowledge and experience
• Able to provide recommendations to improve claims operations
• Able to analyze claims records to evaluate efficiency and effectiveness of claims operations against predefined performance standards
• Able to improve efficiencies, effectiveness and compliance claims operations based on regular evaluation results
• Able to manage claims operations to ensure compliance with relevant policies and guidelines, as well as regulatory requirements
• Able to identify, adopt, and implement innovative solutions to claims management
• Leadership and communication skills
• Exceptional problem-solving and decision-making skills
• Proficient in Microsoft Office suite and core insurance software