Claims Administration Officer

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Claims Administration Officer (Paterson Grade C)

Job Description

The Lesotho PostBank, your only Basotho Bank invites suitably qualified candidates to apply for the following vacant positions:
1.     Job Title         : Claims Administration Officer (Paterson Grade C)
        Reports to      : Manager Bancassurance
        Department    : Bancassurance
        Location          : Maseru

JOB PURPOSE
To collaborate with the insurance companies to analyse the claims and determine the extent of the company’s liability and perform administrative duties related to insurance claims and premium collection.

DUTIES AND RESPONSIBILITIES

Financial 

  • Achieves premium collection and claims processing within the set turnaround time.
  • Increases productivity and efficiency for bank branches.

 Customer 

  • Ensures that customer satisfaction is achieved by providing accurate advice for selling aligned with customer expectation.
  • Analyses the insurance quotations and policy wordings from insurers to fit client’s requirement.
  • Assesses customer needs and develops insurance products that will address the identified needs.
  • Ensures that all claims from customers are processed in a timely manner.
  • Provides suitable solutions for customers.
  • Understands and addresses staff’s concerns in relation to selling insurance products.
  • Ensures that all service requirements are met.
  • Identifies the business Risks and advises clients on how best to mitigate them.

 Internal Processes 

  • Ensures timely and accurate submission of reports, Claims experience and tracking.
  • Finds potential markets for clients and fosters long term relationships.
  • Monitors financial plans and adjusts as and when necessary.
  • Manages client relationships and ensures that clients’ needs are always met.
  • Stays abreast with latest regulations, practices and products and economic trends to make informed advice.
  • Prepares financial and business analysis reports.
  • Demonstrates desired sales behavior.
  •  Assists sales team from all the branches in selling the insurance products.
  • Processes payments to claimants based on the terms of each insurance policy.
  • Reviews applications for new insurance policies to ensure that they meet legal requirements
  • Communicates with customers about their claims’ status, payment amounts, and any other pertinent information.
  • Determines whether claims are eligible for coverage under the terms of each insurance policy.
  • Coordinates with attorneys and insurance companies to settle claims.
  • Reviews medical records to determine if they support a claim.
  • Collects evidence such as witness statements, receipts, photographs, etc. that support a claim.
  • Manages the claims intake process for new claims, including gathering information from customers about their accident or illness.

Job Requirement

EDUCATIONAL REQUIREMENTS AND EXPERIENCE 

  • Degree / Diploma in Accounting and Business Management related fields.

   GENERAL KNOWLEDGE, SKILLS AND ABILITIES 

  • Knowledge of Excel and Microsoft package.
  • Ability to communicate professionally with customers.
  • Ethical conduct at all times.
  • Ability to focus and pay attention to detail.
  • Ability to work under pressure.
  • Professionalism, commitment, reliability, confidentiality, brand loyalty

How to Apply
Applications (including names of three referees) accompanied by certified copies of relevant certificates should be emailed to  [email protected]/ or to [email protected] or hand delivered to:

People and Culture Office
Lesotho Postbank
Mafike House, 1st Floor
Maseru, Lesotho

The closing date for submission of applications is 06th March 2024

DISCLAIMER: ONLY SUCCESSFUL CANDIDATES WILL BE CONTACTED

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