Job Title: Medical Division
Officer
Reporting to: Manager – Medical Division.
Job Summary: Coordinate and manage all: Business renewals, Marketing, Underwriting, Claims, undertaking and Customers service at Branch level.
Reporting to: Manager – Medical Division.
Job Summary: Coordinate and manage all: Business renewals, Marketing, Underwriting, Claims, undertaking and Customers service at Branch level.
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Ensuring business renewals and follow ups.
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Processing business quotations
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Register new business – as per targets agreed on the
departmental budget.
·
Source from renewing clients and cross selling with General
Insurance clients
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Cover write up to clients for review
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Policy documents issuing
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Proper client documentation on file.
·
Minimize losses by ensuring thorough vetting of all claims
before forwarding them for approval.
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Vetting of claims, checking on what is payable and not payable,
either due to the nature of illness or mode of treatment or payment within the
Kenya Medical Practitioners & Dentist Board guidelines.
·
Go through pre-authorization forms and scrutinize forms especially
for clear diagnosis management and nature of treatment. Requesting for
further information/medical reports Liaise with doctors, brokers and clients at
large for patient admissions
·
Advise members on how best to utilize their benefits by
recommending cheaper facilities and cheaper options e.g. maternity packages,
chronic management facilities
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Advising doctors on referral of patients with chronic illness to
cheaper facilities
·
Capping/reviewing of undertaking through advise through letters
to providers where and when necessary to avoid exceeded limits and
hospitals/doctors taking advantages
·
Sending undertakings to providers within the timelines
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Ensure all clients queries are responded to timely &
professionally in line with GA procedure and policies
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Contact clients for conducting cover presentations and health
talks Reconciliations
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Providers reconciliation and liaise with brokers on where member
accessed service not authorized which needs to be paid to providers
·
Sending invoices of exceeded limits to Brokers / Companies for
payment
Knowledge, Skills and Abilities
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Computer skills.
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Good communication Skills.
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Ability to make decisions and solve problems.
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Insurance knowledge in underwriting procedures.
Credentials and Experience
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University degree or equivalent.
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3 years in a busy medical underwriting department.
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Insurance Professional qualification (ACII, AIIK).
Special Requirements
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Ability to meet strict deadlines and targets
Job Title: Record Files Data Management
Job Summary: To facilitate a smooth
flow of information from the files, between the Underwriters and the records
department by updating files and other related tasks.
Main Duties and Responsibilities
Main Duties and Responsibilities
·
Updating the marine folders and box-files from inception to
finality
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Manual premium data control
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Updating the U/W files by separating the active and lapsed ones
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Creating a general file of various clientele by placing all the
necessary mails and correspondence
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Filling all the policy endorsements in the respective policy binders
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Attaching all policy mclarens reports and correspondences in the
respective marine certificates
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Liaising with ICT department during reconciliation of premiums
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Liaising with claims department either to retrieve or furnish
them with general U/W information
·
Retrieving non-motor files with occasional retrieval of motor
and claim Files
Knowledge, Skills and Abilities
·
Computer skills
·
Communication skills
·
Personal drive and initiative
Credentials and Experience
·
O- level education
·
1 year experience
If you have the above minimum requirements, send your c.v to
triza@gakenya.com indicate the position applied for on the email subject line
so as to be received not later than 20th June, 2013.