The Insurance Division principal functions and responsibilities are to duly register all eligible entities and their employees under the Schemes, process claims for benefits, and screen and validate all requests for Medical Board Examination. The Insurance Division comprises of three departments, whose functions are:

Registration Department

The Registration Department is responsible to register all eligible employers and their employees under the Schemes.  Its tasks include, but are not limited to

• Establishing and maintaining comprehensive accurate records of all insured entities and their employees;
• Generating and issuing Social Security codes and numbers to all employers and insured persons;
• Producing and issuing Social Security ID Cards to all insured employees and beneficiaries; and;
• Updating the registration information/data of employers and insured persons.

Claims and Benefit Department

The Claims and Benefits Department is responsible to process all legitimate claims and ensure the payment of benefits to qualified insured persons under the Schemes. Its tasks include, but are not limited to

• Verifying and processing all claims emanating from the Regions;
• Validating all claim calculation and procedures in order to ensure accuracy and consistency; and
• Awarding the right benefits to qualified beneficiaries in a timely manner.

Medical Department

The Medical Department is responsible to receive, scrutinize and authenticate all requests and related documents pertaining to medical claims. Its tasks include, but are not limited to

• Compiling medical data for claims in accordance with the International Labor Organization’s standards;
• Verifying the information/data submitted by claimants for medical benefit;
• Deferring verified claims to the Medical Board for appropriate action; and
• Awarding medical benefits to qualified claimants in a timely manner.