Job Summary
The candidate will be responsible for managing the day-to-day processing of insurance claims,
coordinating with insurers, loss adjustors, external consultants, and claim processors, and ensuring that
all insurance-related matters are handled efficiently and in alignment with company objectives. This role
requires a deep understanding of insurance policies, strong organizational skills, and the ability to assess
risks, negotiate claims, and support the renewal and tendering processes. The Senior insurance officer
will report directly to the Chief Organization Officer and serve as the main point of contact for insurance related queries across the organization.

Key Responsibilities
Claims Management & Processing
• Oversee the daily handling of insurance claims from initiation to settlement, ensuring timely
processing and accuracy in documentation.
• Act as the primary liaison with insurers for claim submissions, clarifications, and settlement
follow-up.
• Monitor claim timelines, maintain updated claim trackers, and escalate delays or issues to
management as necessary.
• Ensure proper filing, record-keeping, and reporting of all claims for audit and compliance
purposes.
Coordination with Loss Adjustors & External Consultants
• Collaborate closely with loss adjustors during site visits, investigations, and assessments to
ensure fair and accurate claim evaluations.
• Coordinate with external consultants to obtain expert advice, opinions, and technical
assessments on complex claims.
• Facilitate transparent communication between adjustors, consultants, insurers, and the business
to minimize disputes and accelerate resolutions.
External Claim Processors Management
• Manage relationships with external claim processors, ensuring that their services align with
organizational requirements.
• Fine-tune and optimize claim handling processes in coordination with external processors to
increase efficiency, accuracy, and turnaround time.
• Monitor processor performance through KPIs and provide feedback for continuous improvement.
Policy Understanding & Risk Assessment
• Maintain an in-depth understanding of all existing insurance policies across the business.
• Analyze coverage terms, conditions, exclusions, and limits to advise management and branches
on policy applicability.
• Assess risks against current coverages and recommend adjustments, endorsements, or new
coverages where gaps are identified.
• Provide proactive risk mitigation advice to branches and business units.
Negotiation & Claims Settlement
• Support and participate in negotiations with insurers to achieve optimal claim settlements.
• Prepare position papers, supporting evidence, and counter-arguments to defend the company’s
interests in disputed claims.
• Ensure settlements are reached in line with policy coverage and business needs while minimizing
financial exposure.
Renewals & Tendering Exercise
• Actively participate in the annual policy renewal process by preparing claims data, performance
reports, and risk analyses for broker and insurer discussions.
• Assist in insurance tendering exercises, contributing to coverage comparisons, terms evaluations,
and insurer selection recommendations.
• Support negotiations for competitive premiums, favorable terms, and improved coverage scopes
during renewal and tendering.
Insurance Queries & Branch Support
• Act as the first point of contact for all insurance-related queries raised by branch personnel.
• Provide timely, clear, and accurate guidance on coverage, claims handling, and incident reporting
requirements.
• Conduct training and awareness sessions for branch staff on claims processes, reporting
standards, and key insurance obligations.
Reporting & Stakeholder Communication
• Prepare regular reports for management summarizing claim status, settlements, outstanding
exposures, and insurer/broker performance.
• Ensure senior management is informed of major claims, disputes, and potential risks requiring
escalation.
• Maintain transparent and proactive communication with all stakeholders involved in the insurance
function.
Qualifications & Skills
• Bachelor’s degree in Insurance, Risk Management, Business Administration, Finance, or a related
field.
• Minimum of 7–10 years of proven experience in insurance claims management, preferably in retail,
F&B, or distribution sectors.
• Strong knowledge of insurance products including Property All Risks, Workmen’s Compensation,
Motor, Fidelity, Money, Political Violence, CAR, and Third-Party Liability.
• Demonstrated ability to analyze risks, compare insurance coverages, and advise on appropriate
solutions.
• Excellent negotiation skills with experience in handling complex or disputed claims.
• Strong organizational, analytical, and problem-solving skills with attention to detail.
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and exper