PURPOSE:
To ensure efficient and accurate processing, assessment, and settlement of claims in line with company policies, regulatory requirements, and service standards while safeguarding the company against fraudulent or unjustified claims.
PRIMARY RESPONSIBILITIES:
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.
| Key Skills, Knowledge, Experience and Behavioral Competencies |
| Academic and Professional Requirements: | ||
| Education | Bachelor’s Degree | · Bachelor’s degree in actuarial science or Related field. |
| Professional Qualification | · Diploma in Insurance | |
| · Relevant experience | · Minimum of 2 years’ relevant experience. | |
Skills and Competencies:
|
| CIC Insurance Values |
| CIC Group is committed to providing excellent service, spur further growth and employees are required to align their behavior to the following core values as critical to driving their performance.
· Integrity- Be fair and transparent · Dynamism- Be passionate and innovative · Performance- Be efficient and results driven · Co-operation- Live the Co-operative spirit |
If you have the aforementioned professional and academic qualifications and you are ready to execute the above mandate, strictly apply through: https://careers.cicinsurancegroup.com/ clearly indicating the position being applied for.
The application should reach us by close of business on 24th November 2025. Please note only short-listed candidates will be contacted. If you do not hear from us by 30th November 2025 consider your application unsuccessful.
N/B: This job advert is open to both internal and external candidates.