Claims Assessor and Service Consultant – aYo Uganda – Kampala

Job Summary:
The Claims Assessor and Service Consultant will provide a claims assessment service in line with the aYo customer engagement framework and customer experience service levels. You will be responsible for:
· Preparation and recommendation of claims payment in line with the aYo claims philosophy and following the defined claims process.
· Finalisation of claims as soon as possible and with the aYo minimum requirements.

Key Duties and Responsibilities:
· Assess, quality control and recommend the payment of claims;
· Monitor and manage the adherence to the aYo service level agreements for customer experience;
· Answer all claims related queries telephonically and in writing;
· Investigate aYo client queries within the agreed service level agreement and ensure that the client receives timeous feedback;
· Escalate aYo client queries to the relevant department or stakeholder;
· Provide accurate information and advice to the aYo client and stakeholders in order to ensure that the client receives the appropriate after sale services;
· Provide authoritative expertise and advice to aYo clients and stakeholders;
· Build and maintain relationships with clients and internal and external stakeholders;
· Deliver on service level agreements made with clients and internal and external stakeholders in order to ensure that aYo client expectations are managed;
· Make recommendations to improve aYo client service and fair treatment of clients within area of responsibility;
· Develop and maintain productive and collaborative working relationships with peers and stakeholders;
· Positively influence and participate in change initiatives;
· Continuously develop own expertise in terms of professional, industry and legislation knowledge;
· Contribute to continuous innovation through the development, sharing and implementation of new ideas;
· Contribute to the financial planning process within area;
· Identify opportunities to enhance cost effectiveness and increase operational efficiency;
· Manage financial and other company resources under your control with due respect;
· Provide input into the risk identification processes and communicate recommendations in the appropriate forum;

Qualifications, Skills and Experience:
· The applicant must hold a Degree or diploma in Nursing or any equivalent medical qualification
· Two years of relevant claims experience;
· A Matric / Grade 12 with Maths and / or Accounting will be an added advantage.
· Understanding of long term insurance industry;
· Knowledge and understanding of claims assessment philosophy;
· Ability to speak at least one additional language other than English
· Administrative skills
· Analytical skills
· Business Acumen;
· Client / Stakeholder Commitment;
· Drive for results;
· Leads Change and Innovation;
· Collaboration;
· Impact and influence;
· Self-Awareness and insight;
· Diversity and Inclusiveness
· In addition, you will need to be able to work in a regularly changing environment, be prepared to take on and let go of tasks and functions to meet changing company requirements.

How to Apply:
All candidates should send their updated CVs via Email to info@ayo.co.ug

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