Claims Administration Officer

633

LESOTHO POSTBANK

Position: Claims Administration Officer

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 seling aligned with customer expectations.

• 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 al 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 al service requirements are met.

• Identifies the business Risks and advises clients on how best to mitigate them.

Internal Process:

• 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.

• Assets 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 now oloimo, including gathering information from customers about their accident or illness

EDUCATIONAL REQUIREMENTS AND EXPERIENCE:

• A Degree in Insurance or Financial Planning and a minimum of three (3) years’ experience in insurance administration

• COP will be an added advantage.

• Computer literacy

GENERAL KNOWLEDGE, SKILLS AND ABILITIES:

• A comprehensive knowledge on insurance and Bank products

• Good understanding of legislation in relation to insurance

• Great understanding of the bank client base

• Decision making ability

• Strong insurance technical skills as well as analytical and numerical skills

• Good interpersonal and networking skills

• Global perspective

• Career management

• Exercise sound reasoning to analyze issues

• Teamwork and collaboration

• Critical thinking and creative problem solving

• Excellent customer service

• Good Communication skill and Interpersonal skills

• High energy, punctuality, and mental alertness

• High attention to details

• Problem solving and analytical skills

• Decision making skills

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 27th October 2023

DISCLAIMER : ONLY SUCCESSFUL CANDIDATES WILL BE CONTACTED

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