Claims Assistant

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  Location

  (UGANDA) and Kampala

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  Job Reference

  21501

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  Functional Area/Experience

  Business, Accounting & Finance / 1 Year

Job Description & Qualifications

Assist in processing and payment of individual life claims and benefits

Key responsibilities:

• Registration of all new claims promptly and acknowledging receipt of the same.
• Processing and payment of Individual life, Group Life, Retrenchment, NHIF and Credit Life claims and benefits.
• Assembling and analyzing claims to establish liability.
• Monitor and ensure that the key interfaces adhere to the set claims handling standards and escalate non adherence to the management.
• Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.
• Respond to both internal claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms.
• Record all claims transactions and maintain accurate claims registers.
• Continuously review of claim accruals to minimize claim reserves.
• Audit and reporting on potential Unclaimed Assets set to be registered with UFAA.
• Capture and maintain accurate data to ensure data integrity.
• Ensure compliance with all regulations.
• Handling customer queries & correspondence on individual life policies to enhance seamless customer experience.
• Prepare claims management reports on a monthly basis or as otherwise advised.
• Facilitating the process of Group & Credit scheme renewals.
• Follow through to ensure all claims with issues at registration level have been addressed or escalated for action.
• Ensure that all claim documents received for Group & Credit Life claims are uploaded and indexed to Document Management System.
• Vetting and analyzing Group & Credit claims as per scope of cover whilst ensuring strict adherence to set guidelines and TAT.
• Monthly tracking of insured reimbursement claims with respective underwriters for payment.
• Reconciliation of reimbursement claims and ensuring all the claims are paid within the agreed TAT.
• Perform daily (or weekly) reconciliations and reviews for both financial transactions and LoB Systems.
• Monthly Quality Assurance assessments.
• Notify brokers and clients of pended and declined claims within set timelines.
• Prepare executive presentations and reports to facilitate project evaluation and process improvement.
• Adhere to claims manual procedures and process.

Knowledge, experience and qualifications required:

• Bachelor’s degree in commerce, Insurance option or equivalent.
• At least one year experience in claims processing.
• Professional qualification in Insurance i.e. (ACII, FLMI or IIK)
• Attention to detail.