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Manager ? Claims Management (Non-Motor)

1.00 to 10.00 Years   Al Kuwait, Kuwait   06 Jan, 2022
PROCAPITA Management Consulting
1 Jobs Openings
Job LocationAl Kuwait, Kuwait
EducationBachelor's degree / higher diploma
SalaryNot Mentioned
IndustryInsurance & TPA
Functional AreaNot Mentioned

Job Description

We are looking for suitable candidates for the position Manager - Claims Management. The selected candidate will be responsible for directing all claims activities at the organization which includes processing of Life & Medical and General (Marine, Aviation, Fire, General Accident, etc..) claims.Roles & Responsibilities:

  • Set the claims policies and procedures for Life & Medical and General insurance services.
  • Ensure the implementation of Claims Policies & procedures at each of claims centers and are in compliance with the overall Operations guidelines.
  • Manage all claims processing activities to ensure quick and efficient completion of claims processing.
  • Monitor all claims activities (including investigating and checking the accuracy of claims, evaluation of damage, determination of liability, etc.) and ensure all customer claims are assessed fairly.
  • Coordinate with the finance department for claims settlement for insured members and providers.
  • Manage and Direct Life & Medical claims in coordination with TPA legislations to ensure that customers are assessed fairly.
  • Review and audit suspicious customer claims.
  • Manage surveys and estimate losses in coordination with surveyor, when needed.
  • Prepare reports for loss ratio from claims in coordination with the underwriting management & make recommendations on means to avoid future losses.
  • Review weekly suspended & denied claims report and paid & outstanding claims report.
  • Ensure good relations with related service providers handle problems between them and clients and negotiate terms and conditions with the provider.
  • Maintain a sound management development plan ensuring sufficient back up.
  • Monitor performance and training needs of subordinates in order to maximize their performance to achieve functional objectives.

Keyskills :

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