Leadway Assurance Company Limited Recruiting for Head, Life Business Claims – Apply Now

 The role works to position claims management/administration as a strategic partner to the business to actualize the following:

Evaluating all documents submitted in respect of claims lodged to be able to identify fraudulent cases

Supervising the Claims team in the day to day discharge of their function.

Approving all claims that are above the limits of the Team Lead

Supervision of monthly & NAICOM returns.

Analyzing any likelihood for recovery / Salvage Administration

Ensuring tasks are completed within the agreed SLA for both internal and external customers.

Ensuring that all regulations and guidelines are complied with.

This senior role will enable meet company’s goal & objectives

This is a senior role, where the holder will advocate, develop and communicate to the business leaders, employees and all stakeholders across the business and organization. They will drive prompt service delivery that supports great customer experiences and operational efficiencies towards market leadership and be a key advocate of employee optimization.

The role holder will be a strategic partner to the business responsible for driving the alignment of people and business strategies.

These objectives will be achieved through effective:

Restructuring of claims department to align to business function

Review of Claims policies and SLA positively

Create risk management framework in collaboration with ERM; Embed cyclical review of all audit outcomes/ potential issues

Create a project plan and drive effective execution of Technical application

Work with talent management to create companywide manpower plans- that are revalidated annually

Key Accountabilities (Duties and Responsibilities) Perspective % Weight Output

Financial 42%

Ensure update of reserve by team members on receipt of

Additional claim information

Monitoring of outstanding claims ensures team members clean up claims records and inform relevant Party of outstanding documents on a monthly basis.

Adherence to Policy Terms & Conditions and ensure leakages are avoided

Ensure the department is compliant with all statutory provisions required.

Internal business processes 24%

Ensure adequate support/ information are provided to all necessary departments in achieving the company's goal for the year in review

Ensure necessary steps to achieve TAT is taken

Review recommended claims and approve with the certainty that the adjustment is within the policy terms and conditions.

Supervising the preparation of monthly / Quarterly returns

Customer 20%

Providing claim status to Clients.

Prompt resolution of complaints

Quick response to enquiry

Delivery within turn-around-time

Learning and growth 14%

Identify knowledge gaps among staff members - Invite Subject Matter Experts (SME) to address identified knowledge gaps among staff

Engage team member to get certification - ACIIN or its equivalent

Job Dimensions Reporting Relationships: jobs that report to this position directly and indirectly

Direct Reports

Team Leads

Claims Analyst/Officer

Indirect Reports

Claims intern

NYSC

Stakeholder Management: key stakeholders that the position holder will need to liaise/work with to be successful in this role.

Internal

Management team

Various functional heads within the business division

Employees across all cadres

Branch business

Associate companies

External

Regulators within the insurance industry

Reinsures broker/Reinsures

Decision Making Authority /Mandates/Constraints: the decisions the position holder is empowered to make

Review and approve claim within the authorized limit

Approval of Payment Voucher within Authorized Limit

Make Ready’ of Payment Voucher for Payment in excess of authorize limit the initiative to effectively engage subordinate in discussions aimed at benefiting both the employee and the company

Work cycle and impact: time horizon and nature of impact (Planning)

This role has various work cycle and impact grouping:

Daily engagements: This drives tactical execution of the team to meet daily tasks and objectives

Performance review: this involves working from outside the office premises

Dial in session: this entails telecommunication at all levels to enhance efficiency on the job

Project management: This involves planning, initiating or leading projects that will provide the next phase of growth for the business.

Ideal Job Specifications

Academic:

Bachelor's degree /HND in any Social Science related field

Master’s Degree is an added advantage.

professional qualification in CIIN and other recognized Insurance professional Institutions

Desired work experience:

Minimum of 7 years in insurance technical department with at least 3 years in managerial role.

Technical advancement in the area of training on matters relating to Underwriting & claims procedures which aligns with company’s strategies & goals.

Ability as a claims manager to resolve issues with brokers and Policy Holders

Exposure to digital business models

Required Educational Level: Graduate, Professional, Masters

Experience Level: 10 Years And Above

Job Type: Onsite

Job Role Type: Full-time

Location: Lagos

Skills Required: Insurance Industry Knowledge , Claims Knowledge , Claims Notification & Investigation , Compliance & Operational Risk Knowledge , Computer/statistical Skills , Credit Control & Adjustment Skill , Information/record Administration , Insurance Principles & Practice , Insurance Products & Services , Legal Knowledge , Risk Perception & Assessment , Underwriting & Pricing Of Risk , Underwriting Management , Underwriting Process , Customer Service , Reinsurance Management , Claims Recovery , Customer Issue Resolution , Profitability strategies , Integrity , Service , Customer Focus , Openness , Respect For Individuals , Excellence , Critical Thinking , Teamwork , Strategic Leadership , Achieving Results , Emotional Intelligence , Strategic Business Acumen , Coaching And Mentoring , Diversity And Inclusion , Empathy , Developing People , Esg (environmental, Social & Governance) , Problem Solving, Decision Making And Critical Thinking , Decision Making , Conflict Management , Change Management , Agility , Strategic Collaboration , Company And Market Knowledge , Planning And Organising , People/self Management , Negotiation And Persuasion Skills , Customer Centricity , Communication , Financial Acumen , Innovation And Entrepreneurship , Use Of Digital Collaborative Tools , Management Of Information

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