Claims Coordinator
- Full-time
- Service Line: Deloitte Human Capital - West Africa
Job Description
On behalf of our client in the Insurance Broking Industry, Deloitte is recruiting a highly skilled and experienced Claims Coordinator. The role holder will be responsible for of coordinating the claims activities of the Company. Specifically, he/she will oversee claims handled by the Company, with a particular focus on major, complex, and important claims.
- Review in detail the reports of Adjusters, Engineers, etc. and make appropriate recommendations to management and the handling unit.
- Undertake detailed review of claims adjustments and settlement offers received from insurers and adjusters vis a vis the internal adjustment, to ascertain equity and fairness for the client.
- Monitor the progress of claims and follow through to settlement.
- Set up and administer a digital claims monitoring and tracking system to be used both internally and externally.
- Ensure the customer receives excellent customer experience on each and every claim, in keeping with the Company’s Vision.
- Red-flag any claim requiring management’s special attention in accordance with the Company’s established Claims Red Flag Protocol
- Review files of settled claims (that qualify for his/her review), to ascertain that the handling and processing conform to the Company’s agreed standards and to the reasonable satisfaction of clients.
- Construct Case Studies for all major and complex claims processed and settled (including ex-gratia), claims repudiated as well as claims withdrawn by the insureds/claimants etc, giving full details of the learning curves in each case.
- Handle and resolve all claims complaints and disputes professionally and to the client’s reasonable satisfaction.
Qualifications
- Bachelor’s Degree in any of the Social Sciences, other sciences, Arts, Law or any related field.
- Minimum of 10 years’ cognate experience from reputable Insurance Broking Companies, Insurance Companies and Loss adjusting firms with the last 7 years spent on claims administration/handling
- Must be an Associate member of the Chartered Insurance Institute of Nigeria or CII London
- Experience in Claims Strategy Development & Implementation