Officer - Claims
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Key skills for this role
About the Role
Manoj Reinsurance Brokers seeks a Claims Officer to manage end-to-end reinsurance claims processing. You will handle notifications, finalize claims, follow up with reinsurers, and maintain records.
Key Skills for This Role
Responsibilities
- Review preliminary loss notifications from brokers or cedants and acknowledge receipt promptly.
- Examine loss details to confirm completeness and accuracy, cross checking against SARB computation sheet.
- Enter preliminary claim information into SARB to generate Claims Reference Number and Preliminary Loss Advice (PLA).
- Notify reinsurers of the loss by forwarding the generated PLA.
- Capture complete claim data in the Claims Master Sheet upon initial entry.
- Conduct monthly follow ups on open PLAs to monitor status updates and reserve movements.
- Acknowledge receipt of finalized claim documents from the cedant without delay.
- Prepare the claim file in accordance with PLA requirements and raise clarifications.
- Record the finalized claim in the SARB Computation Sheet and update tracker status.
- Update the Claims Master Sheet with booked and settled figures upon finalization.
- Conduct monthly follow ups with reinsurers to pursue claim recovery and obtain confirmation.
- Generate debit or credit notes upon RI confirmation and submit to Technical Accounts for approval.
Requirements
- 2 4 years of experience in reinsurance claims, insurance operations, or related financial services role
- Bachelor's degree in insurance, Finance, Business Administration, or related field
- Working knowledge of SARB / ERP systems, claims computation, and PLA generation
- Familiarity with reinsurance treaty and facultative structures
- Proficiency in Microsoft Excel and claims management
- Strong attention to detail and ability to manage multiple claims simultaneously
- Effective written and verbal communication skills
Full Job Posting
About the Role
- The Claims Officer is responsible for end to end management of reinsurance claims from initial notification to final settlement, recovery, and filing.
- Requires close coordination with cedants, brokers, and reinsurers.
- Maintain accurate claims master records and generate debit/credit notes.
Notifications, Acknowledgement & Initial Review
- Review preliminary loss notifications from brokers or cedants; verify whether the account is bound and acknowledge receipt promptly.
- Examine loss details to confirm completeness and accuracy, cross checking against the SARB computation sheet.
- Enter preliminary claim information into SARB to generate a Claims Reference Number and Preliminary Loss Advice (PLA).
- Notify reinsurers of the loss by forwarding the generated PLA as a Loss Advice communication.
- Capture complete claim data in the Claims Master Sheet upon initial entry.
- Conduct monthly follow ups on open PLAs to monitor status updates and reserve movements; complete and maintain filing of all related documents.
Finalized Claim Processing & SARB Entry
- Acknowledge receipt of finalized claim documents from the cedant without delay.
- Prepare the claim file in accordance with PLA requirements; raise any clarifications with the cedant on the same day or by the following business day at the latest.
- Record the finalized claim in the SARB Computation Sheet and update the tracker status from open to finalized.
- Update the Claims Master Sheet with both booked and settled figures upon finalization.
RI Follow Up & Recovery
- Conduct monthly follow ups with reinsurers to pursue claim recovery and obtain confirmation of their share of loss.
- Upon receipt of RI confirmation, generate the appropriate debit or credit note for the transaction.
TA Approval & Filing
- Submit generated debit/credit notes to the Technical Accounts (TA) team for approval and record entries in the master sheet.
- Ensure comprehensive filing of all claim documents for audit readiness and future reference.
Job Specification
- Experience: In similar role 2 4 yrs.
- Academic Qualification: Bachelor’s degree in insurance, Finance, Business Administration, or a related field.
- Must Have Experience: Experience in reinsurance claims, insurance operations, or a related financial services role.
- Special Demands: Flexible to handle different time zones, multiple cases and deadlines under pressure.
Expected Skills
- Time management and prioritization.
- Working knowledge of SARB / ERP systems, claims computation, and PLA generation.
- Familiarity with reinsurance treaty and facultative structures, and cedant/broker relationships.
- Proficiency in Microsoft Excel and claims management.
- Strong attention to detail with the ability to manage multiple claims simultaneously within tight deadlines.
- Effective written and verbal communication skills for liaising with cedants, brokers, and reinsurers.
- Stakeholders coordination and communication.
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