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Jobs at Resolution Heath Kenya

Resolution Insurance Company Ltd is a general insurer offering innovative and responsive insurance solutions. We have learned to adapt in this constantly changing society, and develop comprehensive products that are relevant to our clients. 

We currently have over 60,000 members in our fold and have partnered with over 500 medical service providers across East Africa; a strong network of hospitals, clinics and doctors.
 

The Resolution Insurance brand is energetic and trendy. In pursuit of our ambitious growth plan, we are looking to fill the below position in our Underwriting Department. 

Medical Underwriter 

The Medical Underwriter’s overall purpose is to minimize the risk exposure and claims costs by proper evaluation of applicants seeking medical coverage based on their medical and health status, and aggressive claims analysis.
 
The jobholder is expected to demonstrate commitment and loyalty and perform all duties in accordance with the organization’s office routines and procedures, keeping in mind the overall business objectives.

Key Outputs
  • Coordinate and ensure the set underwriting rules and recommendations are adopted by the respective clients/brokers/staff.
  • Assess risk and ensure appropriate premiums are charged
  • Adjudicate applications and determine whether to accept risk and the terms of risk acceptance
  • Coordinate with relevant departments on implementation of proposed health interventions.
  • Continuous updating of clients medical history while overseeing the storage and integrity of medical records.
  • Underwrite new and existing policies giving the relevant recommendations and ensure their placement.
  • Conduct research and market intelligence and develop departmental reports on medical trends.
  • Respond to both internal and external client queries.
Qualifications & Experience
 
Essential
  • Diploma/degree in nursing or clinical medicine.
  • KRCHN certification
  • 3-5 years relevant work experience in care management in a large modern hospital.
  • Computer literacy levels in MS Office especial MS Excel
  • Excellent research and report writing skills
Desirable
  • Experience in an insurance company in a medical underwriting capacity.
  • Ability to work responsibly with or without direct supervision.
  • Strong Customer Service and interpersonal skills
  • ACII qualification.

Underwriting Executive

The Underwriting Executive’s overall purpose is to ensure live/non-live membership status reports are up to date and available for MSPs or the relevant RIL personnel to avoid denial of services for members or unnecessary costs for inactive-members.
 
The jobholder is expected to demonstrate commitment and loyalty and perform all duties in accordance with the organization’s office routines and procedures, keeping in mind the overall business objectives.

Key Outputs
  • Ensure all MSPs have RI current membership report for all active members
  • Update membership report daily for the Operations Department ensuring capture of various statuses of memberships.
  • Generate reports for qualified international cover members and ensure international provider has the report on time
  • Ensure over-limit members do not access services.
  • Ensure members are on their respective accounts for co-pay options.
  • Generate and communicate card lists to the respective card printers.
  • Archiving and retrieval of all physical documents in the underwriting process.
  • Retrieval of any electronic member documents requested by other functions in the company.
Qualifications & Experience

Essential
  • Diploma in IT.
  • At 3 years relevant work experience
  • Knowledge of working with MS Office packages.
Desirable
  • Business and Accounting knowledge an added advantage
  • Ability to work responsibly with or without direct supervision

If you believe you are a team player and would be a valuable resource to this ever growing brand, kindly visitwww.resolution.co.ke By COB, Monday, 12th January 2015.

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