CLAIMS PROCESSOR – Maputo

Job Detail

• Job ID 6187

Responsibilities Job Description

New Claims Registration

• Receives and acknowledges receipt of claim, registers claim on KIT;
• Submits claim for premium confirmation. Confirmation of cover;
• Appoints the right assessor to verify claims costs;
• Drafts claims letters to clients;

Claims Payment

• Complete the claims check list;
• Generates payment requisition in the KIT system for all claims;
• Collect client experience feedback forms;
• Submit the file for approval to the superiors;

Processing Of Recoveries

• Identifies excess to be recovered either from reinsurer or third party;
• Prepares cash call and submits to reinsures;
• Close all files with no after confirming no recoveries;

Portfolio Reviews And Claims Reporting

• Monthly review of outstanding and updating on reserves;
• Advice underwriters to go off risk on bad clients who try to defraud the company;
• Prepares weekly payments forecast, prepares monthly claims outstanding report;
• Records salvage for non-motor and motor in salvage register total loss register;

Salvage Handling

• Records salvage for non-motor and motor in salvage register total loss register;
• Hand over the salvage to the salvage contractor for disposal;
• Capture the receipts for salvage on KIT.

Requirements

• 1 year experience in claims handling.