Head of Claims and Legal.

Location: Nairobi

Reports to: Managing Director.

OVERALL PURPOSE OF THE JOB

Supervise, manage and co-ordinate under the general direction of the Managing Director, the allocated Claims & Legal Departments and ensure that the highest quality of service is rendered to the Company and the client.

KEY ROLES AND RESPONSIBILITIES

Control of the pure claims & legal expenses as well as associated administrative costs by ensuring that the same is within budget through the following:-

Ensuring that Out Of Court Settlements are prioritized and the company minimum target of 500 per month is achieved and that the claim & legal stock reduce to below 10,000 files in total within the next 12 months. This will include ensuring the personal claim settlement targets which are agreed from time to time are met.

Ensuring the Advocates are adequately prepared to defend on liability, fraud, exaggerated injuries etc in order to obtain the maximum contribution up-to and including against the third parties. This would entail ensuring that the pleadings are in good order, witness summons are obtained in good time, witness pre-trials are conducted in good time, the examinations & cross examinations are properly conducted & a suitably qualified advocate conducts the case.

Analysis of claims files to detect fraud and providing advice on how to successfully have the suits dismissed through the court process.

Obtaining the maximum/target number of court dismissals / claim withdrawals from third party advocates in matters where the company is not liable.

Ensuring processes are put in place to ensure recoveries and salvages are followed up and dealt with to their logical conclusion.

Proclamations against the company and its insured are reduced to the bare minimum or eliminated all together

Loss ratio is kept at the minimum/below limit through providing appropriate direction on claims

Ensuring that all the high value claims/critical files are appropriately negotiated within the company approved settlement parameters in good time

Ensuring processes are put in place to ensure authority to repair is given in good time in Own Damage (OD) claims and that there is proper documentation on the

same.

TPPDs – Getting the highest contribution possible and minimizing number of claims paid while at the same time settling legal ones in good time

Ensure smooth running of the entire claims department comprising of non-legal & legal, assessment, injury verification and investigation departments.

Directs and oversees the operations of the legal and claims department

Provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.

Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.

Support the Directors and the Board of the Company to carry out their corporate governance and regulatory compliance responsibilities.

Present cases at the claim committee of which she/he is a member, participate in their approval and ensure that the claims committee functions efficiently thus no delays occur in claim processing.

Maintain highest level of confidentiality concerning the sensitive, strategic and integral legal & other information, data, decisions and developments taking place at the company.

Monitoring changes in relevant legislation and the regulatory environment, and advising the company on the impact of such changes.

Ensuring that the CAT team functions correctly and gives timely legal strategy review for all legal cases proceeding in court.

Ensure efficient cost rationalization

Review and approval of all fraudulent documents relating to the claims department.

Act as an executive Member of the Company’s Board of Directors and attend AKI, IRA and other relevant regulatory bodies meetings.

Preparation of reports as and when required by Management.

Ensure external advocates are instructed clearly in good time and fees are pre-negotiated.

Ensure fraudulent claims are adequately documented and defended.

Review and approval of Company contracts and agreements and identifying opportunities for efficiencies and improvements.

Academic Qualifications

Bachelor of Laws (LLB) degree from an institution recognized by Commission for Higher Education

Professional Qualifications

Diploma in Law(KSL) and Admission as an Advocate with a current practicing Certificate;

Proficiency in use of computer applications;

Experience

At least 10 Years Post Admission experience in Litigation

Experience in managing a law firm and dealing with PSV industry will be an added advantage.

Skills and Attributes

Organizational, conceptual and analytical, managerial and decision making skills;

Ability to get well with diverse workforce;

Honesty and integrity;

Positive working attitude;

Excellent litigation and negotiation skills

Ability to give and take instructions

If you are qualified, send your CV only quoting the job title on the email subject Head of Claims and Legal to hro@employd.co.ke. Indicate your expected salary.