01Overview
Job DescriptionFunction Purpose
\ NTo manage and administer reinsurance claims efficiently by ensuring timely notification, assessment, processing, recovery, and settlement of claims while maintaining compliance with contractual, regulatory, and service standards.
\ NRole Purpose
\nThe Claims Handling professional is responsible for end-to-end management of claims, acting as the key liaison between insurers, reinsurers, brokers and management. The role ensures prompt resolution of claims, minimizes financial exposure, and delivers superior stakeholder service.
\ NKey Expectations of the Role
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\n Handle the complete lifecycle of reinsurance claims from notification to closure.\ N Review claim documentation and verify coverage, policy terms, and treaty conditions.\ N Coordinate with insurers, reinsurers & brokers for claim processing.\ N Monitor claim reserves,recoveries, and settlement timelines.\ N Follow up on outstanding claims, recoveries, and documentation requirements.\ N Prepare claim bordereaux, management reports, and claim status updates.\ N Analyze claim trends and provide insights on loss experience and portfolio performance.\ N Ensure compliance with policy wordings, treaty agreements, regulatory requirements, and internal processes.\ N Support audits, reconciliations, and regulatory reporting related to claims.\ N Maintain accurate claimrecords and documentation in claims management systems.\ N Build and maintain strong relationships with c insurers, and reinsurers to ensure effective claims service.\ N\nCompetencies Required for the Role
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\n Experience & Expertise in handling Group Personel Accident claims\ N Strong knowledge of reinsurance claims processes.\ N Understanding of policywordings, treaty structures, and coverage interpretation.\ N Analytical and problem-solving skills.\ N Strong negotiation and stakeholder management abilities.\ N Excellent communicationand relationship management skills.\ N Attention to detail anddocumentation accuracy.\ N Ability to manage multiple claims and meet deadlines.\ N Knowledge of claims accounting, recoveries, and reserve management.\ N Proficiency in Microsoft Excel, PowerPoint, and claims management systems.\ N Understanding of regulatory and compliance requirements within the insurance industry.\ N\nPersonal Qualifications
\ NEducational Background:
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\n Graduate in Insurance, Commerce, Finance, Business Administration, or a related field.\ N Professional qualifications such as III, AIII, FIII, CII, or equivalent insurance certifications preferred.\ N\nExperience:
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\n 8-10 years of experience in reinsurance claims handling preferable in GPA claims.\ N Hands-on experience managing Group personal accident, property, engineering, marine, casualty, or specialty claims.\ N Experience in coordinating with insurers, reinsurers and broker for claim settlement and recovery processes.\ N Exposure to large and complex claims would be an added advantage.\ N\nConfidentiality and Ethics:
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\n Upholds high standards of confidentiality, ethics, and integrity in handling sensitive information and interactions.\ N\nTechnology Proficiency:
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\n Proficient in using office productivity software (Microsoft Office, Google Workspace) and calendar management tools\ N .
