Claims Processing Assistant (Insurance) [Openings: 2]
Legal & Compliance
K sh 55,000 – 68,000 gross / month
Openings: 2 Location: Nairobi – Muthaiga Mini-Market / Thigiri Overview: Claims work is where empathy meets precision. You’ll be the first point of contact for clients navigating motor or medical incidents, capturing details accurately while reassuring them that their case is in good hands. Every document checked and timeline communicated builds confidence and prevents delays. This isn’t just customer service it’s structured process in action. You’ll open new files, verify policies, and flag gaps before assessments are booked. Accuracy now means fewer headaches later, and a tidy audit trail ensures nothing is lost between the client, adjusters, and partners. Keeping clients updated is as important as paperwork. Clear SMS or email templates and well-maintained diaries let you manage expectations and reduce follow-up calls. You’ll see firsthand how consistency and communication drive smooth settlements. On the backend, settlement packs, approvals, and subrogation tracking demand attention to detail. Logging complaints and spotting recurring trends lets the team continuously improve and ensures fairness across all claims. If you thrive when calm communication and precision go hand-in-hand, this role gives you both responsibility and impact. Each correctly processed claim is a chance to combine empathy with efficiency and watch clients leave satisfied. Key Responsibilities: - Open claim files; verify policy and documents; flag gaps. - Book assessments/medical reviews; follow-up reports. - Maintain claim diaries and client updates (SMS/email templates). - Prepare settlement packs; check approvals and limits. - Track recoveries/subrogation with panel partners. - Log complaints and resolutions; escalate trends. - Keep neat audit trails for each claim. Education & Experience: - Diploma Insurance/Business; 0–2 years. Skills: - Empathy, accuracy, numeric sense, and phone etiquette. KPIs: - Turnaround time, NPS, error rateand , first-time complete files. Compensation (Kenya): - Base: KES 50,000–68,000. - SLA bonus: KES 2,000–4,000/quarter for meeting claim cycle targets. - Shift premium: +8% if assigned to late client hours (5–8 p.m.). Client estimates; final figures vary with medical/motor line exposure, throughput during a live case simulation, and availability for month-end pushes. Benefits: - Medical, training, phone. Growth Path: - Claims Assistant → Claims Officer → Senior Claims → Team Lead.