Coronation Insurance Plc has been in operations for over half a century, offering a comprehensive range of insurance coverage. Established in 1958, Wapic has built a strong franchise in the largest economies in Sub-Saharan Africa and operates two subsidiaries; Coronation Life Assurance Limited and Coronation Insurance (Ghana) Limited.
The Company has a history of delivering efficient and transparent insurance solutions to discerning clients; a culture reflective of the strength and leadership which underpins the company’s foundation. Key Duties and Responsibilities
Assess potential high-value fraudulent claims by evaluating documents and information collected against common indicators of frauds
Negotiate with corporate customers on settlement amounts, terms and recovery actions in accordance with organisation policies and procedures and applicable laws and regulations
Communicate all claims decisions in a timely and appropriate manner and ensure that communication during the assessment process is regular, timely, and clearly documented.
Determine if technical and/or high-value claims should be accepted based on results of claims analysis and reports from service providers
Determine settlement amounts for technical and/or high-value insurance claims based on investigation outcomes
Interpret policy wordings and conditions to determine the validity of claims and advises the claimant accordingly
Negotiate with corporate customers on settlement amounts, terms and recovery actions in accordance with organisation policies and procedures and applicable laws and regulations
Ensure claim matters are handled according to customer service standards and defined customer experience policies
Review Key Performance Indicators (KPIs) relevant to each stage of the insurance claims process and propose recommendations to increase efficiency
Identify claim trends to propose product design enhancements
Determine appropriate modifications to business processes to ensure seamless transition and minimise resistance for claims handling
Ensure accuracy of records and adherence to internal controls
Maintain compliance frameworks, policies, and procedures to reflect changing regulatory requirements and organisational compliance strategies
Key Requirements
Education and Work Experience:
Bachelor’s Degree in Finance, Insurance or any related discipline
Minimum of 5 to 7 years’ experience in the Insurance industry.
Possession of a Professional certification is an added advantage
Skills and Competencies:
Understands the scope of cover, including policy extensions, limitations, and exclusions for the class of business being underwritten
Sound Knowledge of the Insurance industry
Ability to apply internal compliance procedures to ensure own work is in compliance with standards
Strong attention to details
Excellent written and verbal communication skills
Excellent customer service skills
Knowledge of Microsoft Office and Core Insurance software.
