Claims Analyst
2025-06-04T13:15:31+00:00
Job Haven Consultancy
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https://jobhaven.ca/
FULL_TIME
Lusaka
Lusaka
10101
Zambia
Consulting
Admin & Office
2025-06-10T17:00:00+00:00
Zambia
8
Job Overview:
The primary purpose of the Claims Analyst role is to execute a range of vital support duties within the Claims Department, specifically focusing on processing insurance claims transactions. This includes responding to internal and external queries for information, as well as meticulously preparing documents, policy information, and files for further handling by colleagues. The overarching goal is to ensure the seamless and efficient operation of the reinsurance claims process.
Summary of Job Responsibilities:
1. Claims Management
- Assists in the process of settling Claims as assigned by Superior
- Review and analyse reinsurance claims to ensure compliance with policy terms and conditions as assigned by the immediate supervisor.
- Maintain accurate and complete records of all relevant information related to each claim, including correspondence, reports, and supporting documents.
2. Workload Management
- Performs other related support duties as requested, such as answering queries, processing mail, assisting customers, scanning, photocopying and insurance check processing.
- Complete ad-hoc projects assigned by the supervisor.
- Assist in performing regular quarterly audits.
- Adjust protocols based on company needs.
- Demonstrates subject matter expertise and continuously builds product, procedural and technical systems knowledge.
- Follows procedures and applies advanced-level administrative skills and insurance knowledge to accomplish both routine and non-routine tasks and duties.
3. Processing of Applications
- Collaborate with internal teams, underwriters, and external parties to gather necessary information and clarify details related to claims.
- Interpret reinsurance and insurance policies and contracts to make informed decisions regarding claim settlements.
- Assists in the creation of new applications/processes and the development of reference and resource materials.
- Reviews, evaluates and categorises incoming documents, verifies information for accuracy/appropriateness and follows up with others for missing or questionable data
- Prepares and assembles documents for additional handling by other associates or for distributing to outside contacts.
4. Information Processing
- Enters and retrieves information of varying complexity using computer systems and applications to update records, obtain information for others and respond independently to most questions and problems with adjusters and verification questions with customers and vendors. And potentially adjusts a portion of the customer submission.
- Prepare and present regular reports on claims activities, trends, and recommendations for process improvements.
- Uses advanced skills and business knowledge to prepare correspondence and process other insurance transactions to provide customer service and support efforts.
5. General
- Performs other related support duties as requested, such as answering queries, processing mail, issuing payments and generating claim associated documents and assisting customers or vendors.
- Stay informed about industry regulations and compliance
- The Supervisor may assign any other related duties to the job holder as and when required.
Academic and Professional Qualifications
- Diploma in Insurance, Business Administration or equivalent.
- Formal Customer Service training is an added advantage.
- Ability to work independently and collaboratively in a team environment.
- Proficient in using Microsoft Office suite and SICS reinsurance software.
Relevant work Experience
- A minimum of two (2) years’ experience in (Re)insurance with proven experience in claims examination with a strong understanding of reinsurance principles.
Key Skills and Attributes
- Report writing skills
- Detail-oriented
- Able to collect and analyze technical information
- Problem-solving skills
- Customer service skills
- Strong computer skills
1. Claims Management Assists in the process of settling Claims as assigned by Superior Review and analyse reinsurance claims to ensure compliance with policy terms and conditions as assigned by the immediate supervisor. Maintain accurate and complete records of all relevant information related to each claim, including correspondence, reports, and supporting documents. 2. Workload Management Performs other related support duties as requested, such as answering queries, processing mail, assisting customers, scanning, photocopying and insurance check processing. Complete ad-hoc projects assigned by the supervisor. Assist in performing regular quarterly audits. Adjust protocols based on company needs. Demonstrates subject matter expertise and continuously builds product, procedural and technical systems knowledge. Follows procedures and applies advanced-level administrative skills and insurance knowledge to accomplish both routine and non-routine tasks and duties. 3. Processing of Applications Collaborate with internal teams, underwriters, and external parties to gather necessary information and clarify details related to claims. Interpret reinsurance and insurance policies and contracts to make informed decisions regarding claim settlements. Assists in the creation of new applications/processes and the development of reference and resource materials. Reviews, evaluates and categorises incoming documents, verifies information for accuracy/appropriateness and follows up with others for missing or questionable data Prepares and assembles documents for additional handling by other associates or for distributing to outside contacts. 4. Information Processing Enters and retrieves information of varying complexity using computer systems and applications to update records, obtain information for others and respond independently to most questions and problems with adjusters and verification questions with customers and vendors. And potentially adjusts a portion of the customer submission. Prepare and present regular reports on claims activities, trends, and recommendations for process improvements. Uses advanced skills and business knowledge to prepare correspondence and process other insurance transactions to provide customer service and support efforts. 5. General Performs other related support duties as requested, such as answering queries, processing mail, issuing payments and generating claim associated documents and assisting customers or vendors. Stay informed about industry regulations and compliance The Supervisor may assign any other related duties to the job holder as and when required.
Report writing skills Detail-oriented Able to collect and analyze technical information Problem-solving skills Customer service skills Strong computer skills
Diploma in Insurance, Business Administration or equivalent. Formal Customer Service training is an added advantage. Ability to work independently and collaboratively in a team environment. Proficient in using Microsoft Office suite and SICS reinsurance software. Relevant work Experience A minimum of two (2) years’ experience in (Re)insurance with proven experience in claims examination with a strong understanding of reinsurance principles.
JOB-684046f31e610
Vacancy title:
Claims Analyst
[Type: FULL_TIME, Industry: Consulting, Category: Admin & Office]
Jobs at:
Job Haven Consultancy
Deadline of this Job:
Tuesday, June 10 2025
Duty Station:
Lusaka | Lusaka | Zambia
Summary
Date Posted: Wednesday, June 4 2025, Base Salary: Not Disclosed
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JOB DETAILS:
Job Overview:
The primary purpose of the Claims Analyst role is to execute a range of vital support duties within the Claims Department, specifically focusing on processing insurance claims transactions. This includes responding to internal and external queries for information, as well as meticulously preparing documents, policy information, and files for further handling by colleagues. The overarching goal is to ensure the seamless and efficient operation of the reinsurance claims process.
Summary of Job Responsibilities:
1. Claims Management
- Assists in the process of settling Claims as assigned by Superior
- Review and analyse reinsurance claims to ensure compliance with policy terms and conditions as assigned by the immediate supervisor.
- Maintain accurate and complete records of all relevant information related to each claim, including correspondence, reports, and supporting documents.
2. Workload Management
- Performs other related support duties as requested, such as answering queries, processing mail, assisting customers, scanning, photocopying and insurance check processing.
- Complete ad-hoc projects assigned by the supervisor.
- Assist in performing regular quarterly audits.
- Adjust protocols based on company needs.
- Demonstrates subject matter expertise and continuously builds product, procedural and technical systems knowledge.
- Follows procedures and applies advanced-level administrative skills and insurance knowledge to accomplish both routine and non-routine tasks and duties.
3. Processing of Applications
- Collaborate with internal teams, underwriters, and external parties to gather necessary information and clarify details related to claims.
- Interpret reinsurance and insurance policies and contracts to make informed decisions regarding claim settlements.
- Assists in the creation of new applications/processes and the development of reference and resource materials.
- Reviews, evaluates and categorises incoming documents, verifies information for accuracy/appropriateness and follows up with others for missing or questionable data
- Prepares and assembles documents for additional handling by other associates or for distributing to outside contacts.
4. Information Processing
- Enters and retrieves information of varying complexity using computer systems and applications to update records, obtain information for others and respond independently to most questions and problems with adjusters and verification questions with customers and vendors. And potentially adjusts a portion of the customer submission.
- Prepare and present regular reports on claims activities, trends, and recommendations for process improvements.
- Uses advanced skills and business knowledge to prepare correspondence and process other insurance transactions to provide customer service and support efforts.
5. General
- Performs other related support duties as requested, such as answering queries, processing mail, issuing payments and generating claim associated documents and assisting customers or vendors.
- Stay informed about industry regulations and compliance
- The Supervisor may assign any other related duties to the job holder as and when required.
Academic and Professional Qualifications
- Diploma in Insurance, Business Administration or equivalent.
- Formal Customer Service training is an added advantage.
- Ability to work independently and collaboratively in a team environment.
- Proficient in using Microsoft Office suite and SICS reinsurance software.
Relevant work Experience
- A minimum of two (2) years’ experience in (Re)insurance with proven experience in claims examination with a strong understanding of reinsurance principles.
Key Skills and Attributes
- Report writing skills
- Detail-oriented
- Able to collect and analyze technical information
- Problem-solving skills
- Customer service skills
- Strong computer skills
Work Hours: 8
Experience in Months: 24
Level of Education: associate degree
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