Senior Claims Officer

About the role

APA Life Assurance is hiring a full-time Senior Claims Officer in Mombasa, Kenya. The role covers life insurance claims processing and policy assessments, and requires at least 4 years of relevant insurance experience.

Key responsibilities

• Advise applicants on how to make a claim and the processes involved
• Process new claims notifications and collect accurate information and documents
• Analyze claims and contact approved service providers to arrange repairs to the policyholder's property
• Monitor claim progress, investigate potentially fraudulent claims and identify reasons why full payment may not be made
• Ensure fair settlement of valid claims and handle related complaints
• Build relationships with loss adjusters, forensic accountants, solicitors and other legal/claims professionals
• Initiate legal recovery of monies paid out and maintain good broker relations
• Keep costs low, adhere to legal requirements and industry regulations, and ensure premiums are settled before claim processing
• Liaise with the underwriting department on policy terms and endorsements, advise on loss-making brokers, and respond promptly to client and stakeholder enquiries
• Dispatch discharge vouchers, maintain accurate claims records, and enter claims data into the system
• Assist and train new staff, take part in team meetings, and brief the departmental manager regularly

Required profile

• Bachelor's degree in a relevant field
• At least 4 years of relevant experience in insurance
• Professional qualifications: ACII/AIIK

Required skills

• Team player
• Negotiation skills
• Interpersonal and communication skills
• Integrity