Japheth Silingi

Experienced and results-driven Insurance Claims Manager with over 10 years of expertise in claims handling, underwriting, client service, and arbitration across general and medical insurance. Adept at managing high-volume claims portfolios, resolving complex disputes, and leading claims teams to exceed service level expectations. Skilled in fraud detection, regulatory compliance, and cross-functional coordination.

Recognized for building strong client relationships, improving turnaround times, and upholding service excellence.

Claims Manager - Gachichio Insurance Brokers Ltd - Nairobi, Kenya

(2018-01)

• Manage all claims processes from registration to settlement, ensuring compliance with underwriter requirements and client service standards.
• Act as primary liaison between clients, underwriters, and service providers on claims issues.
• Draft and maintain Service Level Agreements (SLAs) with garages, assessors, and underwriters.
• Provide annual claims training to clients and conduct internal training for staff.
• Monitor loss ratios and prepare periodic claims and performance reports for management and review meetings.
• Conduct site visits (e.g., garages) to verify repairs and reduce fraud.
• Guide clients through documentation and claim procedures.
• Resolve client complaints efficiently, maintaining high satisfaction and retention rates.
• Regularly update the claims register (IPAC) and ensure timely communication with stakeholders.

Underwriter / Claims Officer - Gachichio Insurance Brokers Ltd - Nairobi, Kenya

(2017-01 - 2018-12)

• Initiated and tracked claims with insurers, while also supporting internal underwriting operations.
• Verified that placed business aligned with premium payments.
• Sourced quotes, responded to tenders, and participated in client presentations.
• Produced monthly claims reports and assisted in policy setup for new clients.

Underwriter - Kenbright Insurance Brokers Ltd - Nairobi, Kenya

(2014-01 - 2017-12)

• Managed a personal portfolio, assessed risks, and negotiated terms with insurers and clients.
• Ensured regulatory compliance in underwriting documentation.
• Supported internal audit processes and coordinated premium financing via banks.

Medical Fund Administrator (Self-Funded Schemes) - Kenbright Healthcare Administrators - Nairobi, Kenya

(2014-01 - 2017-12)

• Managed member databases and ensured timely delivery of member statements.
• Processed medical reimbursements and reconciled statements from hospitals and doctors.
• Oversaw fund administration in line with prudential and operational guidelines.

Bachelor of Business Management - Accounting - Moi University

Diploma - Business Management - Moi University

International Diploma - Insurance - Cambridge International College