Joan Jebiwott

Experience

• 

  ZEP-RE (PTA Reinsurance Company)

  May 2015 - Sept 2015

  Life, Medical and Micro-Insurance Intern

  • Driving operational excellence through contracts setup, setting cover note terms recovery of premiums and payment of claims.• Underwriting of individual life business.• Building and maintaining good customer relationship through effective communication, efficiency, and market visits• Building capacity of insurance firms through support in trainings.• Actuarial Servicing & Modelling • Business Analysis through reports on performance of the business.

• 

  ZEP-RE (PTA Reinsurance Company)

  Sept 2016 - now

  • Development of a Document Management System where I was the Claims champion in availing requirements and walkthrough of the processes to the developers (Candela Labs).• Monthly reporting of Claims Turn Around Time as per Service Level Agreement in line with company Strategy.• Delivering promise to our clients through timely review and processing of claims and response.• Analysis of Claims Experience on a quarterly and yearly basis and sharing loss ratio reports to management.• Reconciliation of long outstanding claims.• Recovery from retrocessionares on large claims and providing monthly reports on large aggregate losses.• Client support through market visits, calls and meetings to enhance customer relationship and service.• Training of incoming staff to claims team.• Internal and external audit support.• Reserve reviews to reflect the current position and are in line with corporate reserving policy.• Review of performance through support of audits which ensure standards of service are maintained and internal decisions are made correctly.• Experience using Microsoft products and other BI data analysis tools, such as Power BI & R. Show less • Claims review which involves analysing claims light of claim documentation check list, policy terms and conditions and reinsurance coverage contract terms.• Claim investigation to establish the facts surrounding the claim through documentation shared or deputing an external loss adjuster to undertake further investigations.• Claims negotiations and settlement in cases with disputes through meeting with clients, arbitration of internal decision to settle a percentage of loss ex-gratia basis.• Claim recoveries from third parties, salvage recoveries, subrogation prospects and recovery from retrocessionaires.• Reports to management periodically on claims paid and outstanding, turn around times, recoveries made etc.• Reconciliation of outstanding claims shared by cedants / brokers.• Archiving and filing of claims. Show less

  • Assistant Key Account Manager - Medical

    Jun 2023 - now

  • Claims Analyst

    Jan 2020 - Jun 2023

  • Claims Administrator

    Sept 2016 - Dec 2019