Operations Claims Officer
Operations Administrator Jobs Information
Job Category
Operations Administrator Jobs
Job Type
Permanent/Full Time
Working Experience
1 - 3 Years
Education Level
First Degree
Industry
Insurance Jobs
Salary Range
Not Specified
Qualifications
HND/First Degree
Application Deadline
2022-01-31
Description
Responsibilities
Policy Administration
- Ensures that all front office and technical partners are informed of when policy data for administration is required (including first instance and subsequent instances for discrepancy resolution)
- Ensures accurate and timely entry of manual data
- Ensure accurate and timely policy data administration including identification and resolution of discrepancies; benefit, premium and company revenue computations.
- Manage the transfer of administered data to underwriters while concurrently completing the billing, collection and transfer from front office partners to underwriters of premiums before logging all relevant details to the Premiums and Commissions Management Sheet
- Maintain a record of all relevant actions from the above in the Policy Data Administration Management Tracker
Claims Processing
- Respond to claims reported by front office partners/individual claimants within defined turnaround times to ensure a high level of operational delivery quality
- Accurately assess claims based on up-to-date knowledge of relevant policy contracts binding front-office partners to insurers, rejecting those that need to be rejected and working with all partners to get all valid claims paid within defined timelines
- Channel accurate, up-to-date records to company’s portal regarding all claims of which have been notified, and through all the related processes to resolution
- Manage all claims-related communication between involved parties (front office partners, insurers, claimants), and also manage the storage of related soft copy documentation related to claims
- Display a high sense of sensitivity to affected clients and front-office partner staff in all claim-related interactions
Reporting
- Manage and continuously own a sizeable chunk of the actual policy reporting workload
- Ensure that data discrepancies are resolved with the support of the business development team and ensure that reports are sent to partners on time, with requisite copies of reports stowed in relevant locations for easy access and reconciliation as needed
- Maintain a record of all relevant actions from the above in the Reporting Management Tracker
- Maintain an up-to-date contact list of all service vendors, to ensure that verification can be done at all times with ease and without delays.
- With guidance from the Operations Team Leader, coordinate with and support the team on all necessary tasks, and using the Client Support Portal to initiate all assistance requests as necessary (hardware, software, networks)
- Build a thorough understanding of all products and partnerships undertaken by the company
- With guidance from the Operations Manager, ensure that all soft and hard copy versions of documentation relating to products and partnerships have been duly stowed to correct locations
- Ensure that all day to day undertakings are in line with regulatory requirements with the guidance of the Operations Manager
- Support all work teams during launches, market storms and other projects, as time and workload commitments to primary operational duties permit
Responsibilities
- 4-year degree qualification required
- At least 2 years work experience, preferably in an international organization
- Strong Excel background (i.e usage of excel formulas and charts)
- Strong track record of back-office performance, including administrative management, reports, contracts, business processes, and the like
- Strong knowledge of and experience with Microsoft Office Suite, especially Microsoft Excel or Access, but also Word and PowerPoint
- Fluency in spoken and written English is essential, local language knowledge preferred
- Great interpersonal, communication, leadership, and negotiation skills
- Experience in developing and improving operational delivery processes
- Self-motivated and driven
- Ability to work autonomously and take initiative; demonstrate self-motivation and energy, work well under pressure, and meet tight deadlines.
- Commitment to the company’s model and articulate its mission, vision and values
Location Information
Location
Accra Central
Region
Greater Accra
Street Address
Anumansa Street