Assistant Legal Claims Officer

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 ...