Summary
Date Posted: Tuesday, September 17 2024, Base Salary: Not Disclosed

JOB DETAILS:
Claims Analyst – (22000040)
Job Purpose and Key responsibilities

Job purpose
The role holder will be responsible for processing and payment of general insurance claims. The role will report to the Claims Supervisor.

Key responsibilities
• Review the policy to determine which charges are eligible for reimbursement
• Monitor and ensure that the key interfaces adhere to the set claims handling standards and escalate non adherence to the management
• Maintain a register of claims to be recovered
• Adjust and maintain correct claims reserves
• Generate monthly reports on all the claims processed
• Verify and update information on submitted claims
• Attend to client queries on claims
• Analyze claims supporting documents to establish liability
• Perform any other duties as may be assigned from time to time
• Deliver on performance requirements as defined in the departments’ strategy map, balanced scorecard and Personal Scorecard.
• Perform any other duties assigned by the supervisor.
• Key Performance Measures
• Compliance with TIRA & Ombudsman claims handling requirements.
• Turnaround time for claims payment.
• Turnaround time for acknowledgement & registration of claims.
• Adherence to SLA with service providers.
• Customer complaints handling.
• Working Relationships

Internal Relationships:
Responsible to Claims Supervisor
Required to liaise and work closely with the other departments as may be necessary

External Relationships:
• Britam customers
• Insurance sector players
• Knowledge, experience and qualifications required
• Knowledge, experience and qualifications required
• Bachelors’ degree ( Insurance option preferred)
• 2-4 years’ experience in claims processing
• Professional qualification in Insurance (Certificate CII)
• Knowledge and experience in the insurance sector

Essential Competencies
• Learning and Researching: Rapidly learns new tasks and commits information to memory quickly; demonstrates an immediate understanding of newly presented information; gathers comprehensive information to support decision making at management level; learns from successes and failures and seeks colleague and customer feedback.
• Working with People: Shows respect for the views and contributions of other team members; shows empathy; listens, supports and cares for others; consults others and shares information and expertise with them; builds team spirit and reconciles conflict; adapts to the team and fits in well.
• Applying Expertise and Technology: Applies specialist and technical expertise; uses technology to achieve work objectives; develops job knowledge and expertise (theoretical and practical) through continual professional development; demonstrates an understanding of different organisational departments and functions.
• Delivering Results and Meeting Customer Expectations: Focuses on customer needs and satisfaction; exhibits high standards for quality and quantity; monitors and maintains own quality and productivity; works in a systematic, methodical and orderly way; consistently achieves projects goals.
• Following Instructions and Procedures: Follows procedures and policies; keeps to schedules; arrives punctually for work and meetings; demonstrates commitment to the organisation; complies with legal obligations and safety requirements of the role.
• Adhering to Principles and Values: Upholds ethics and values; demonstrates integrity; accepts diversity; display individual responsibility towards the community and the environment; models the organisational values during every day interactions.

Primary Location: Tanzania, United Republic of-Dar es Salaam-Dar es Salaam

Work Hours: 8

Experience in Months: 36

Level of Education: Bachelor Degree

Job application procedure
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