Assistant Claims Analyst

Qualifications

• Analytical & Problem-Solving Skills
  
• Attention to Detail
  
• Excellent communication, presentation, and interpersonal skills.
  
• High integrity, self-driven, goal-oriented, and able to work with minimal supervision.
  
• Customer Service Orientation
  

A. Claims Processing & Assessment

• Receive, register, and acknowledge claims from policyholders.
  
• Review and verify the completeness of claim documents and reports.
  
• Assess claims against policy terms, exclusions.
  
• Recommend approval, rejection, or further investigation of claims.
  
• Analyze intimated claims and advise the client on supporting claims documents.
  
• Process fully documented claims and refer any suspicious claims to the supervisor.
  
• Review claims reserve on a continuous basis in view of new developments and close files where all payments have been made.
  
• Facilitate reinsurance recoveries by submitting claim documents when they fall due.
  

B. Customer Service & Stakeholder Management

• Respond to inquiries from clients, providers, and intermediaries on claim matters.
  
• Provide guidance to clients on claim requirements, processes, and timelines.
  
• Build and maintain strong relationships with policy holders.
  
• Issue discharge vouchers and ensure execution by the client.
  
• Follow up on claims payments.
  

C. Compliance & Reporting

• Ensure claims are processed in compliance with company policies, service level agreements, and regulatory guidelines.
  
• Maintain accurate records of all claims.
  
• Prepare periodic reports on claims performance, trends, and risks for management decision-making.