Clarkson Insurance Brokers Ltd: We are an Insurance Intermediary who wishes to
recruit the following positions in our Life & Pension Department.
Manager
Ref: L&P M/L&P D/2014
The candidate will be responsible for
spearheading the Life & Pensions Administration arm of the business, while
focusing on client service, business growth and maintaining the existing client
portfolio
Key Performance Areas:
- Monitor and improve operations to ensure
maximum efficiency and exemplary client service in Benefits Administration
and Client Services
- Administer pension schemes in accordance with
the RBA and KRA regulations and ensure compliance
- Maintain existing schemes portfolio and foster
business relationship with all stakeholders
- Supervise, train and mentor staff in technical
aspects of the business
- Assist the team in credit control
- Ensure that clients issues are handled
expeditiously and with courtesy
Education and experience:
- University Degree in Business Related Studies,
- Professional qualification in Life/Pension
Management will be an added advantage,
- Must have a minimum of 5 years relevant
working experience at least 2 in management level,
- Must have knowledge of legislation governing
retirement benefits and insurance in the East African region and
- Solid knowledge of pension schemes
administration with a thorough understanding
Competencies:
- Demonstrate leadership, managerial,
organizational and administrative skills
- High professional ethical standing, excellent
planning and communication skills,
- Team player with good interpersonal
skills
- Computer Literate
Assistant Manager - Medical Department
Ref: AM/MD/14
The job purpose is to provide
strategic leadership and hence manage the medical business profitably and
ensuring the desired loss ratio level sustained
Key Performance Areas:
- Prepare and execute the department’s annual
budget
- Ensure that proper risk analysis and
acceptance is adopted in underwriting of all the risk in the medical
department
- Ensure that claims processing procedures are
adhered to according to the service level benchmarks
- Ensure that declined claims are communicated
to provider or the client within the month of receipt and the declined
invoices from the providers are reversed in the statement
- Ensure that benefit utilization reports are
compiled and communicated to the respective clients on monthly basis,
scheduled exceeded benefits reports and reclaims are communicated to the
respective clients and/or the broker within the month of incurring the
expense
- Compile and analyze ailments reports and
ensure quarterly review or health talk meetings are held with various
schemes depending on the performance
- Compile and submit the following reports:
Claims status (Paid and outstanding), Commissioners, AKI, and Monthly scheme
performance.
- Hold scheduled meetings with providers to
ensure issues touching on exclusions, credits and non-delivery of bills
are addressed.
- Monitor claims trends per provider and take
the necessary remedial actions
- Ensure service level agreements with service
providers are in place and their bank guarantees are set up or
renewed
- Ensure full premium is collected.
- Ensure 95% business retention of profitable
accounts and load premium for poor performing accounts.
- Control management expenses incurred within
medical departments in line with the budget
Education and experience:
- Bachelor’s degree in any related field with a
bias in medical, 7 years’ work experience at a Managerial level in a busy
Medical department, with a reputable insurance company.
Competencies: Excellent
presentation and training skills, Excellent negotiation skills, Excellent
communication skills, good analytical and reporting skills, listening skills,
computer skills and leadership skills.
Nurse
Ref: NM/MD/2014
The job holder is to control and
manage medical benefit utilization through pre-authorization and case
management activities to ensure quality, appropriate cost effective care and
good customer service are achieved by performing the following tasks: is
responsible for the Company’s branch operations, implementation of sound
underwriting practices, driving sales and offering seamless customer
experience.
Key Performance Areas:
- Pre-authorize scheduled and nonscheduled
admissions within the set guidelines
- Negotiate / discuss professional fees as
appropriate for each admission
- Set the appropriate parameters for each
admission (claim reserve, initial authorized cost and duration)
- Visit all admitted clients within Nairobi
region and its environs
- Liaise with Doctors on the day to day
management of patients and obtain medical reports/ expected length of stay
where indicated
- Ensure smooth discharge process and
co-ordinate any necessary post-hospitalization/ step down facility
care
- Revise reserves after discharge of
member
- Collect feedback from admitted clients on
quality and scope of service by the service provider
- Assist in carrying out verification and
medical audit of claims/invoices before settlement
- Develop and maintain monthly database on
admissions, large claims and extended length of stay
- Respond to queries from clients,
intermediaries and service providers
- Liaise with other medical underwriters for
purposes of market surveys and development of new controls, standards and
products
- Any other duty assigned by management.
Education and experience:
- Diploma or Degree in Nursing, Diploma in
Insurance/COP Degree in Health systems Management/ Business management and
2 years experience.
Competencies: Excellent communication and negotiation skills,
excellent public relations and interpersonal relationship skills. Good IT
skills in database management and office systems, Good decision making in
benefit utilization management, High levels of integrity and honesty Knowledge.
For considerations, email only a two
page resume to hr@clarkson.co.ke to be received no later than 15th December
2014.
Only shortlisted candidates will be
contacted.
Quote the reference number on the
subject part of the email
