Retail Claims Officer

About this role

The Retail Claims Officer role at Prudential Plc in Lagos involves efficiently processing and administering individual life insurance claims. The job requires reviewing submissions, validating documentation and policy coverage, and ensuring timely processing and payment within approved limits. The role also includes maintaining claims records, preparing reports for management, and working with stakeholders to resolve issues while supporting compliance and audits. It also encompasses customer service, potential remarketing activities after policy maturity or termination, and participation in sales meetings as part of business retention efforts.

What you would do

• Process and administer individual life insurance claims (including terminations, partial withdrawals, maturities, and death claims).
• Review claims documentation to ensure completeness before processing and payment.
• Prepare claim payment memoranda for management and Board approval within authority limits.
• Investigate claims to verify policy coverage and determine validity and entitlement.
• Prepare and maintain weekly, monthly, and quarterly claims reports for management review.
• Maintain accurate claims records including files, documents and communication logs.
• Respond to claim inquiries and guide customers through the claims process.
• Collaborate with internal and external stakeholders to resolve issues and ensure timely settlements.
• Support internal control, audit and compliance with requested information and queries.
• Assist with remarketing customers after maturity or termination and participate in sales meetings.

What they are asking for

• Bachelor's Degree or HND in Insurance, Actuarial Science, Business Administration, Economics, Accounting, Finance, or related discipline.
• Professional insurance certification (ACIIN, ACII, or equivalent) is an added advantage.
• 3 - 5 years' experience in insurance claims administration, customer service, or insurance operations.
• Practical experience in processing and assessing life insurance claims is advantageous.
• Good understanding of life insurance products, policy terms, conditions, exclusions, and claims procedures.
• Proficiency in Microsoft Excel and data collection and entry.

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