What Jobs are available for Claims Processing in Kenya?

• Investigate insurance claims by reviewing policy coverage, conducting interviews, and gathering necessary documentation.
• Assess the extent of damages or losses sustained by policyholders.
• Determine liability and coverage based on policy terms and conditions.
• Negotiate settlements with policyholders and third parties in a fair and timely manner.
• Authorize payments for approved claims in accordance with company guidelines and policy limits.
• Maintain accurate and detailed claim files, documenting all actions taken and communications.
• Communicate effectively with policyholders, providing clear explanations of the claims process and status updates.
• Collaborate with internal teams, such as underwriting and legal, to resolve complex claims issues.
• Ensure compliance with all relevant insurance regulations and company policies.
• Identify potential fraudulent claims and escalate for further investigation.
• Manage a caseload of claims efficiently, prioritizing tasks and meeting deadlines.
• Contribute to process improvements within the claims department.
• Provide exceptional customer service throughout the claims handling process.

• Bachelor's degree in Business Administration, Finance, or a related field, or equivalent experience.
• 3+ years of experience as an Insurance Claims Adjuster or in a similar role.
• In-depth knowledge of various insurance policies (e.g., auto, home, property, liability).
• Proven experience in claims investigation, damage assessment, and negotiation.
• Strong analytical and critical thinking skills.
• Excellent communication, interpersonal, and customer service skills.
• Proficiency with claims management software and standard office applications.
• Ability to work independently, manage time effectively, and handle a high volume of claims in a remote setting.
• Relevant insurance licenses and certifications (e.g., Associate in Claims - AIC) are highly desirable.
• Detail-oriented with a commitment to accuracy and fairness.

• Investigate insurance claims by gathering information, interviewing claimants and witnesses, and reviewing documentation.
• Evaluate policy coverage and determine liability for submitted claims.
• Negotiate fair and equitable settlements with claimants and their representatives.
• Ensure claims are processed accurately, efficiently, and in compliance with all applicable regulations and company policies.
• Maintain detailed and accurate claim files, documenting all activities and communications.
• Assess damages and determine the extent of the company's liability.
• Collaborate with legal counsel, independent adjusters, and other parties as necessary to resolve claims.
• Provide clear and concise communication to policyholders regarding claim status and resolution.
• Identify potential fraud indicators and escalate suspicious claims for further investigation.
• Contribute to the continuous improvement of claims handling processes and procedures.
• Mentor and provide guidance to junior claims adjusters.

• Bachelor's degree in Business Administration, Finance, Law, or a related field.
• Relevant professional certifications (e.g., AIC, CPCU) are highly desirable.
• Minimum of 5 years of experience as a Claims Adjuster, with a strong background in handling complex claims.
• In-depth knowledge of insurance policies, legal requirements, and claims investigation techniques.
• Excellent analytical, critical thinking, and problem-solving skills.
• Strong negotiation and communication abilities, with a focus on clear and empathetic customer interaction.
• Proficiency with claims management software and standard office productivity tools.
• Ability to work independently, manage time effectively, and maintain high productivity in a remote work environment.
• A dedicated, quiet home office space with reliable high-speed internet is required.

• Manage and lead a remote team of insurance claims adjusters and support personnel.
• Oversee the entire claims lifecycle, from initial reporting to final settlement, ensuring adherence to policy terms and conditions.
• Develop, implement, and enforce claims handling policies and procedures to ensure consistency and fairness.
• Monitor claims performance metrics and implement strategies to improve efficiency and reduce loss ratios.
• Ensure compliance with all applicable insurance regulations and legal requirements.
• Conduct regular audits of claims files to ensure accuracy and adherence to guidelines.
• Train and mentor claims staff, fostering a culture of continuous learning and professional development.
• Investigate and resolve complex or escalated claims issues.
• Collaborate with other departments, such as underwriting and legal, to ensure seamless operations.
• Identify opportunities for process improvement and implement best practices in claims management.
• Manage relationships with third-party service providers, such as loss adjusters and legal counsel.

• Bachelor's degree in Business Administration, Finance, or a related field; a Master's degree is a plus.
• Minimum of 7 years of progressive experience in insurance claims management, with a strong understanding of various insurance lines (e.g., property, casualty, life).
• Proven track record of successfully managing and leading remote teams.
• In-depth knowledge of insurance contracts, claims investigation techniques, and settlement practices.
• Familiarity with claims management software and related technologies.
• Strong analytical, decision-making, and problem-solving skills.
• Excellent communication, interpersonal, and negotiation skills.
• Ability to remain calm and effective under pressure.
• Relevant professional certifications (e.g., ACII, CPCU) are highly desirable.
• Demonstrated commitment to customer service excellence.

• Investigating insurance claims to determine the cause and extent of loss or damage.
• Reviewing insurance policies to ascertain coverage and eligibility for claims.
• Interviewing claimants, policyholders, and witnesses to gather relevant information.
• Obtaining and inspecting damage reports, police reports, and other necessary documentation.
• Analyzing information and evidence to determine liability and claim validity.
• Negotiating settlements with claimants and/or their representatives.
• Authorizing payments for approved claims within established guidelines.
• Maintaining accurate and detailed claim files and records in the claims management system.
• Communicating effectively with policyholders, legal counsel, and other relevant parties.
• Ensuring compliance with all applicable laws, regulations, and company policies.
• Providing exceptional customer service throughout the claims process.
• Managing a caseload of general insurance claims remotely, potentially serving clients in the **Mlolongo** area and across the nation.

• Bachelor's degree in Business Administration, Law, or a related field, or equivalent experience.
• Minimum of 5 years of experience as a claims adjuster or in a related insurance role.
• Proven experience in investigating and settling various types of insurance claims.
• Strong understanding of insurance policies, legal principles, and regulatory requirements.
• Excellent analytical, problem-solving, and decision-making skills.
• Exceptional negotiation and conflict-resolution abilities.
• Superior written and verbal communication skills.
• Proficiency in claims management software and Microsoft Office Suite.
• Ability to work autonomously and manage a high volume of claims remotely.
• Valid Kenyan driver's license and willingness to occasionally travel if required (though the role is primarily remote).
• Experience with claims in the **Mlolongo** region is a plus.

• Investigate and evaluate general liability insurance claims.
• Determine coverage and liability based on policy terms and evidence.
• Communicate with policyholders, claimants, witnesses, and legal representatives.
• Gather and analyze all relevant documentation and evidence.
• Negotiate claim settlements within authorized limits.
• Manage a caseload of claims efficiently from opening to closure.
• Document all claim activities and decisions accurately in the claims system.
• Prepare detailed reports for management review.
• Ensure compliance with all applicable laws, regulations, and company policies.
• Identify potential subrogation or salvage opportunities.

• Bachelor's degree in Business, Finance, or a related field.
• Minimum of 3 years of experience in casualty or liability claims adjusting.
• Strong knowledge of general liability insurance principles and practices.
• Excellent analytical, negotiation, and problem-solving skills.
• Proficiency in claims management software.
• Strong written and verbal communication skills.
• Ability to work independently and manage time effectively in a remote setting.
• Detail-oriented with a commitment to accuracy.
• Relevant insurance certifications (e.g., AIC, CPCU) are a plus.
• Ability to maintain a professional demeanor in challenging situations.

• Lead and manage the day-to-day operations of the remote claims department.
• Oversee the investigation, evaluation, and settlement of all general insurance claims.
• Ensure claims are processed accurately, efficiently, and in compliance with policy terms and regulatory requirements.
• Manage a team of claims professionals, providing guidance, training, and performance management.
• Develop and implement strategies to control claims costs and minimize fraudulent activity.
• Monitor claims trends and identify opportunities for process improvement and efficiency gains.
• Maintain high standards of customer service throughout the claims process.
• Collaborate with underwriting, legal, and other departments to ensure cohesive operations.
• Analyze claims data to identify emerging risks and recommend preventive measures.
• Represent the company in claim-related disputes or litigation as necessary.

• Bachelor's degree in Business Administration, Law, or a related field. Relevant professional insurance qualifications (e.g., ACII) are highly advantageous.
• Minimum of 8 years of experience in insurance claims management, with at least 3 years in a leadership role.
• Proven experience managing remote teams.
• In-depth knowledge of general insurance products, policy wordings, and claims procedures.
• Strong understanding of relevant insurance laws and regulations.
• Excellent leadership, communication, negotiation, and interpersonal skills.
• Proficiency in claims management software and systems.
• Strong analytical and problem-solving abilities.
• Ability to make sound judgments and decisions under pressure.
• Commitment to ethical conduct and customer satisfaction.

• Oversee the end-to-end claims handling process, ensuring timely and accurate settlements.
• Lead, mentor, and manage a team of claims adjusters and support staff remotely.
• Develop and implement effective claims policies, procedures, and service standards.
• Analyze claims data to identify trends, patterns, and opportunities for process improvement.
• Ensure compliance with all relevant insurance regulations and legal requirements.
• Manage and resolve complex and high-value claims, including litigation cases.
• Control claims costs through effective investigation, negotiation, and reserve management.
• Implement strategies to detect and prevent fraudulent claims.
• Foster strong relationships with policyholders, agents, brokers, and external service providers.
• Contribute to the development of underwriting guidelines based on claims experience.

• Bachelor's degree in Business Administration, Law, Finance, or a related field.
• Minimum of 6 years of experience in insurance claims management, with significant supervisory or managerial experience.
• Comprehensive knowledge of insurance products, claims processes, and relevant legislation.
• Proven ability to manage complex claims and navigate legal and regulatory landscapes.
• Strong leadership, team management, and interpersonal skills.
• Excellent analytical, problem-solving, and decision-making abilities.
• Proficiency in claims management software and standard office applications.
• Ability to work independently and lead a remote team effectively.
• Professional designations in claims management (e.g., AIC, CPCU) are highly desirable.
• Experience in (specify specialization, e.g., motor, property, liability) claims is a plus.

• Managing and overseeing the daily operations of the claims department, ensuring efficient and accurate claims processing.
• Leading, training, and mentoring a team of claims adjusters and support staff.
• Developing and implementing claims handling policies and procedures to ensure compliance and consistency.
• Monitoring claims trends and identifying opportunities for process improvement and cost containment.
• Ensuring timely and equitable settlement of all claims in accordance with policy terms and regulatory requirements.
• Reviewing and authorizing complex or high-value claim settlements.
• Collaborating with legal counsel and other external stakeholders on litigated or complex claims.
• Managing relationships with third-party administrators and service providers.
• Analyzing claims data to identify fraud indicators and implement preventative measures.
• Maintaining up-to-date knowledge of insurance laws, regulations, and industry best practices.
• Developing and delivering training programs for claims staff on product knowledge, policy interpretation, and claims handling techniques.
• Handling escalated customer inquiries and complaints related to claims.
• Contributing to the development of new insurance products and policy wordings from a claims perspective.
• Managing the claims budget and ensuring operational efficiency.
• Preparing and presenting claims performance reports to senior management.

Company:

Waumini Insurance Brokers Ltd.

Location:

Waumini House, Westlands

About 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 results-driven
Claims Manager
to oversee and coordinate our claims operations.

Key Responsibilities:

• Lead and manage the claims function to ensure efficient, fair, and timely processing of all claims.
• Act as the main liaison between clients, insurers, and other stakeholders throughout the claims process.
• Review and assess claims documentation to ensure compliance with policy terms and regulatory requirements.
• Negotiate settlements with insurers on behalf of clients to achieve favorable outcomes.
• Develop and implement claims management procedures, policies, and service standards.
• Provide technical guidance and mentorship to the claims team.
• Prepare regular claims reports and analysis for management and clients.
• Handle complex and disputed claims with professionalism and tact.
• Ensure compliance with all regulatory and legal requirements related to claims handling.

Qualifications & Experience:

• Bachelor's degree in Insurance, Risk Management, Business, Law, or Business related field.
• Professional qualifications such as ACII/ACIIK or equivalent will be an added advantage.
• Minimum of
  years' experience in claims management
  , preferably within an insurance broking or underwriting environment.

Personal Attributes
:

• Strong negotiation, analytical, and decision-making skills.
• Excellent communication and interpersonal abilities.
• Proven leadership and people management skills.
• High level of integrity, professionalism, and client service orientation.

What We Offer:

• Competitive salary and benefits package.
• Opportunities for professional development and career growth.
• A collaborative and dynamic work environment.

How to Apply:

Interested candidates should submit their CV and a cover letter to

Managing Director

Waumini Insurance Brokers Ltd.

P.O. Box

WESTLANDS

Deadline to apply by
30th September 2025
.

Please indicate
"Claims Manager Application"
in the subject line.