Head of Claims & Legal at Kenya Orient Insurance Limited

• Lead and monitor compliance in claims reserving, approval and settlement processes in line with company policies.
• Drive cost control through negotiation of payables, budget preparation and collaboration with Finance and Actuarial teams.
• Ensure accurate, timely claims reporting to regulators and reinsurers while enforcing turnaround times and data integrity across claims registers.
• Oversee the salvage process to ensure timely disposal, proper receipting of sold salvages and reduction of overall claims ratio.
• Manage and significantly reduce cash-in-lieu settlements by promoting the use of approved panel garages.
• Ensure timely settlement of service provider fees in line with negotiated AKI rates, signed SLAs and agreed terms and conditions.
• Manage legal judgments through out of court settlements, track appeals and ensure auctioneers' fees are paid according to approved scales.
• Drive the legal team to achieve annual recoveries of Kshs 20 million and ensure timely filing of near-expiry claims to prevent lapses.
• Respond to service provider queries within 48 hours to maintain effective communication.
• Foster positive relationships with service providers and ensure timely invoice payments according to SLAs.
• Deliver prompt, fair, and customer focused claims handling with timely responses to emails, calls, and complaints ensuring efficient resolution within performance targets.
• Oversee efficient and compliant claims management, ensuring timely investigations, fair settlements and alignment with regulatory and reinsurance requirements.
• Implement robust systems and controls to manage legal claims, authorize decisions, monitor
• performance, and support strategic goals for loss ratios and operational efficiency.
• Foster collaboration across departments and stakeholders using insights from claims data to enhance underwriting, improve customer experience and strengthen governance practices.
• Ensure accurate and compliant claims settlement through thorough data analysis, investigations and strict adherence to company policies, SOPs, and turnaround times.
• Strengthen claims risk management by developing tools for fraud detection, enforcing reserving and repudiation policies and maintaining updated judgment and salvage processes.
• Enhance operational efficiency and service delivery by proactively managing service providers, implementing escalation frameworks and aligning with industry trends and company standards.
• Provide strategic leadership and effective supervision of the claims team, driving performance, staff development and alignment with company objectives to ensure high quality service delivery.

• A Bachelor's degree in business related course (Insurance Option, Business Administration, Law and Finance) or equivalent from a recognized university.
• Diploma in ACII or AIIK or equivalent.
• Diploma in Legal Studies from the Kenya School of Law (KSL).
• Minimum of 9 years of relevant experience, with at least 5 years in a senior claims management role.

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