Claims Processor at Cornerstone Insurance Plc

Cornerstone Insurance Plc is the first insurance company in Nigeria to provide customers with an online platform for insurance transactions. Little wonder why Cornerstone Insurance Plc. was adjudged as the ‘Best Use of IT in Insurance Service’ 2013, by the Financial Technology Magazine and also Lagos Chamber of Commerce and Industry Awards for 'Best Online Insurance Company of the Year' 2015 to name a few.We are recruiting to fill the vacant position below:Job Title: Claims ProcessorLocation: LagosResponsibilitiesAcknowledging claim notification and requesting for claim substantiating documentsBook appointment with claimants/brokers to arrange for physical inspectionUnder take physical inspection and investigation to ascertain validity of report claimsAppointment of External/ Loss Adjuster for huge/technical claims and review of their report upon receipt, while other claims are adjusted in house based on laid down procedures and quantum of the claim.Prompt generation of documents (letter, Offer letter, Discharge voucher, Cheque Requisition, dispatching cheques promptly, required report etc) and communication of organisation’s position/decision within the specified Service Level Agreement.Strives to ensure Insured understands the benefits/scope of cover of the policy issued and what is not covered when a claim is controversial.Resolving Insured’s complaints related to Claims Administration, refers difficult or very complex complaints to Head of Central Claims when the need arises.Acting as liaison with various insurance stakeholders to foster effective relationship with client representatives.Primary RolePrompt investigation of reported claimsEnsure accuracy and completeness of claims documents before concluding the claim.Interpret policy wording, analyse and review adjustment to determine the company’s liability and make necessary recommendation to the Unit /Team LeaderCompliance with various SLA –acknowledgement of mail, reviewing and summarising Adjuster’s report, carrying out in house adjustment, communicating the organisation’s decision, raising cheque requisition and dispatching claim cheques.Review reserve based on available informationSend copies of loss adjusters reports to co-insurers and collate their recommendationsCompliance with NAICOM guidelinesPreparing weekly, monthly reports also quarterly returns as at when due.Ensure all insertions to the software are correct and in compliance with company’s policies and standardAdvise Underwriting and Markers of risk improvement measures.Ensure that salvage and recoveries from negligent third party or co-insurers are utilized in reducing our outlayAbility to foster fruitful relationship between brokers and the company.

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