Universal Health Insurance Jobs 2017

Universal Health Insurance is looking for a dynamic candidate to fill the position of Claims Officer

Job Description

Job Title: Claims Officer

Education: HND Dispensing Technologist or its equivalent from a recognized institution.
Competencies:
Must possess knowledge in accounting
Must be able to think logically and follow procedures and instructions.
Good understanding of the insurance industry, particularly health insurance.
Knowledge of insurance policies, including what each policy covers.
Excellent attention to details
Sound oral and written communication
Confident and ability to make informed decision.
Able to organise and prioritise own workload.
IT Literate

Main responsibilities

Providing advice on making a claim and the processes involved
Processing new insurance claims notifications
Collecting accurate information and documents to proceed with a claim
Analysing a claim made by a policymaker
Guiding policyholders on how to proceed with the claim
Contacting tradespeople from a network of approved professionals and arranging for them to make repairs on the policyholder’s property
Monitoring the progress of a claim
Investigating potentially fraudulent claims
Identifying reasons why full payment may not be made

Ensuring fair settlement of a valid claim
Building relationships with loss adjusters, forensic accountants and solicitors, as well as other legal and claims professionals
Ensuring the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines
Handling any complaints associated with a claim
Involvement in loss adjusting activities and in legal discussions relating to settlement
Seeking legal recovery of monies paid out
Managing a team of claims handlers (at managerial level)
Taking responsibility for productivity and profit
Adhering to legal requirements, industry regulations and customer quality standards

How to Apply

All CVs must be sent to [email protected]