Policies & Procedures
• Set the claims policies and procedures for Takaful & Medical and General insurance services.
• Ensure the implementation of Claims Policies & procedures at each of claims centersand are in compliance with the overall Operations guidelines set by the Deputy GM of Non Motor Operations so that all relevant procedural/legislative requirements are fulfilled and deliver in a consistent manner.
Claims Management
• Manage all claims processing activities to ensure quick and efficient completion of claims processing with regards to Motor, Generaland Takaful & Medical insurance.
• 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.
Medical Claims
• Direct Takaful & Medical claims in coordination with TPA legislations.
• Manage Takaful & Medical claims activities including investigating and checking accuracy of claims and coordinate with TPA to ensure that customers are assessed fairly.
Claims Investigation
• Review and audit suspicious customer claims.
• Decide on suspicious customer claims (by approval or reject).
• Manage surveys and estimate losses in coordination with surveyor, when needed.
Reports
• 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.
Communication
• Ensure good relations with related service providers handle problems between them and clients and negotiate terms and conditions with the provider.
Succession Planning
• Maintain a sound management development plan ensuring sufficient back up; availability of potential successors; and career opportunities for high performers.
People Management
• Monitor performance and training needs of subordinates in order to maximize their performance to achieve functional objectives.
Job Details
| Posted Date: | 2019-05-20 |
| Job Location: | Al Kuwait, Kuwait |
| Job Role: | Support Services |
| Company Industry: | Insurance |
Preferred Candidate
| Career Level: | Management |
| Nationality: | United Arab Emirates; Bahrain; Djibouti; Algeria; Egypt; Iraq; Jordan; Comoros; Kuwait; Lebanon; Libya; Morocco; Mauritania; Oman; Palestine; Qatar; Saudi Arabia; Sudan; Somalia; Syria; Tunisia; Yemen |
| Degree: | Bachelor's degree |
To apply for this job click here
Jobs in Kuwait - career in Kuwait - vacancies in Kuwait-Senior Claims Manager (General)-Jobs in Kuwait - career in Kuwait - vacancies in Kuwait
Post a Comment