Assistant Legal Claims Officer
1 week ago
Job Purpose
Reporting to the Legal Specialist
Key Responsibilities
- Review documents and pertinent requirements regarding an insurance claim.
- Ensure that the insurance claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim.
- Advice customers regarding basic matters about their insurance coverage in relation to the insurance claim.
- Respond to both internal and external claims inquiries concerning benefits, claims processes, service providers, and the filing/completion of proper forms.
- Record all claims transactions including appointment of advocates, doctors and investigators.
- Ensure that matters allocated are constantly tracked and updated in the registers.
- Update legal claims registers for claims meetings and update the various claims reports
- Track and follow up on appeal deposits.
- Assist in giving advice on legal issues, compile comprehensive file notes both in the event of judgments and out of court matters.
- Assist in the review of reserves as per the reserving guidelines.
- Assist in managing external Advocates on Britam Panel of Advocates through pro-active interaction and correspondences.
- Review advocates legal costs to ensure that the same are within the SLA and Advocates Remuneration Order.
- Review status updates as received by advocates in an effort to keep abreast with all ongoing briefs and advice maintain adequate reserves based on the established reserving guidelines. and documentation received from the panel advocates.
- Process payments to insured's and service providers.
- Assist on Third party recoveries when called upon to do so.
Knowledge, Experience And Qualifications Required
- Bachelor's of degree in LAW LLB and PDG from KSL.
- Obtain the relevant CLE points in every given year.
- 0-4 years' experience in insurance claims processing.
- Knowledge and experience in the insurance sector and added advantage.
Primary Location
Kenya-Nairobi-Nairobi
Organization
Britam
Job Type
Permanent
Shift
Day Job
Contract Type
Full-time
Job Posting
Unposting Date
Ongoing
Number of Openings
1
-
Legal Officer
16 hours ago
Nairobi, Nairobi Area, Kenya UN Environment Programme Full time $60,000 - $80,000 per year1. Provision of legal support to UNEP through the Corporate Services Division / Legal Uniti. Serve as a National Legal Officer, supporting the provision of corporate legal advice to UNEP through the Corporate Services Division / Legal Unit, and contribute to the Unit's overall work as required.ii. Review and draft legal instruments, agreements, and...
-
Assistant Claims Officer
6 days ago
Nairobi, Nairobi Area, Kenya Britam Full time 1,200,000 - 2,400,000 per yearJob PurposeControl and managing of the policy cycle through pre-authorization and case management, to ensure quality and cost effective care.Key ResponsibilitiesEnsure all received claims are vetted and released to finance on time (Credit and reimbursement claims).Set the appropriate parameters for each admission and claims for IP and OP (claim reserve,...
-
Claims Representative
4 days ago
Nairobi, Nairobi Area, Kenya The Cigna Group Full time 1,200,000 - 2,400,000 per yearYou will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.To be successful as a claim's processor, you should have excellent organizational and interpersonal skills. You...
-
Legal Officer
1 week ago
Nairobi, Nairobi Area, Kenya Mwananchi Credit Limited Full time 1,200,000 - 2,400,000 per yearThe Legal Officer is responsible for providing expert legal services to support business and ensure operations are carried out in accordance with the laid down company policies and procedures, regulatory guidelines and are within legal framework.Essential Duties & Responsibilities include but not limited to the following:Provide legal advice and...
-
Claims Representative
6 days ago
Nairobi, Nairobi Area, Kenya Cigna Healthcare Full time 900,000 - 1,200,000 per yearYou will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.To be successful as a claim's processor, you should have excellent organizational and interpersonal skills. You...
-
Claims Representative-2
2 weeks ago
Nairobi, Nairobi Area, Kenya The Cigna Group Full time 360,000 - 1,080,000 per yearWe are looking for a detail-oriented Claims Representative to join our claims team. You will be responsible for verifying information and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.To be successful as a claim's processor, you should...
-
Insurance Claims
2 weeks ago
Nairobi, Nairobi Area, Kenya Jacaranda Maternity Full time 120,000 - 180,000 per yearJOB DESCRIPTION Job Title: Insurance Claims & Reconciliation Officer Reports to: Finance Manager Department: Finance Role: Fulltime Job Purpose: The Insurance Claims & Reconciliation Officer is responsible for managing the end-to-end insurance claims process, ensuring accurate and timely submission of claims, reconciliation of insurer...
-
Claims Representative-2
2 weeks ago
Nairobi, Nairobi Area, Kenya Cigna Healthcare Full time 1,200,000 - 2,400,000 per yearWe are looking for a detail-oriented Claims Representative to join our claims team. You will be responsible for verifying information and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.To be successful as a claim's processor, you should...
-
National Legal Officer
16 hours ago
Nairobi, Nairobi Area, Kenya United Nations Volunteers - East and Southern Africa Full time $30,000 - $60,000 per yearAdvertisement end date:14/11/2025Mission and objectivesSince its inception in 1972, the United Nations Environment Programme (UNEP) has been the global authority that sets the environmental agenda, promotes the coherent implementation of the environmental dimension of sustainable development within the United Nations system and serves as an authoritative...
-
Claims Manager-Nairobi HQ
6 days ago
Nairobi, Nairobi Area, Kenya Waumini Insurance brokers Limited Full time 1,200,000 - 2,400,000 per yearCompany:Waumini Insurance Brokers Ltd.Location:Waumini House, WestlandsAbout Us:We are a leading insurance broking firm committed to delivering exceptional customer service and tailored risk solutions to our clients. We pride ourselves on professionalism, integrity, and excellence. To strengthen our team, we are seeking an experienced and...