Claims Vetting Officer
Call Centre Nursing Executive
Group Chief Executive Officer
CIC Insurance Group is the leading
Cooperative Insurer in Africa, providing insurance and related financial
services in Kenya, Uganda, South Sudan and Malawi. The Group offers a wide
range of products including General Insurance, Life Assurance, Medical Insurance
and Asset Management services. As a pioneer and leader in micro-insurance, the
Group’s focus on innovation and excellence in service delivery has
differentiated it in the market and earned it international recognition.
Purpose:
Responsible for vetting both in/ outpatient medical claims for
payment.
Responsibilities
·
Vet in/outpatient medical
bills/invoices and refer any suspicious claims to the supervisor;
·
Batch outpatient invoices on the
system and adjust amount payable as per the vetting findings;
·
Check and reject incomplete invoices
and return with supporting documents to service providers;
·
Negotiate, adjust and update service
providers on their cost and accounts status;
·
Reconcile statements of accounts for
service providers; advising accounts and service providers on unpaid/underpaid
bills;
·
Review claims reserves on a
continuous basis in view of new developments;
·
Attend to customer queries and
complaints promptly and professionally and
·
Recommend risk improvement measures
to the underwriter to take appropriate action.
Qualifications
·
Bachelor’s degree in a related field
or a Diploma in Nursing / Diploma in Clinical Medicine
·
Kenya Registered Nursing (KRN)
Diploma – Required
·
Up to three (3) years’ relevant
experience
Skills and Attributes
·
Problem solving skills;
·
Good analytical skills;
·
Computer literate in MS Office and
other office applications;
·
Understanding of the working
environment /competitors;
·
Technical competence in insurance;
·
Basic knowledge of regulations by AKI
and IRA;
How to Apply
Call Centre Nursing Executive
CIC Insurance Group is the leading
Cooperative Insurer in Africa, providing insurance and related financial
services in Kenya, Uganda, South Sudan and Malawi. The Group offers a wide
range of products including General Insurance, Life Assurance, Medical
Insurance and Asset Management services. As a pioneer and leader in
micro-insurance, the Group’s focus on innovation and excellence in service
delivery has differentiated it in the market and earned it international
recognition.
Call Centre Nursing
Executive – Medical Contact Centre (Contract)
·
Job
Type: Full Time
·
Qualification: BA/BSc/HND
·
Experience: 3 years
·
Location: Nairobi
·
Job
Field: Medical / Health
Purpose
To provide general customer service in respect to medical
business customers.
Responsibilities
·
Receive and respond to Medical
emergency lines and ensure 24 hour coverage.
·
Handle phone calls and visitors, as
well as resolve customers’ communication through electronic and physical
channels.
·
Provide input for the customer
service reports.
·
Handle customer service issues and
queries.
·
Escalate Customer queries to the
relevant job role if necessary.
·
Maintain professional ambience within
the office premises.
·
Promote the organization’s customer
service charter.
·
Participate in planning and budgeting
for the department.
·
Support all Medical business events
in both for internal events and those involving CIC Stakeholders and /or the
general public;
·
Participate in premium collection and
renewal follow up for clients.
Qualifications
·
Minimum of A Diploma in Nursing or
Health System Management
·
KRN/KRCHN
·
Up to three (3) years’ relevant
experience in busy health environment
·
Experience in a medical call centre
management unit will be an added advantage
Skills and Attributes
·
Problem solving skills;
·
Good analytical skills;
·
Computer literate in MS Office and
other office applications;
·
Understanding of the working
environment /competitors;
·
Technical competence in insurance;
·
Basic knowledge of regulations by AKI
and IRA;
·
High emotional intelligence;
How to Apply
Group Chief Executive Officer
CIC Insurance Group is the leading
Cooperative Insurer in Africa, providing insurance and related financial
services in Kenya, Uganda, South Sudan and Malawi. The Group offers a wide
range of products including General Insurance, Life Assurance, Medical Insurance
and Asset Management services. As a pioneer and leader in micro-insurance, the
Group’s focus on innovation and excellence in service delivery has
differentiated it in the market and earned it international recognition.
Group Chief Executive
Officer (GCEO)
·
Job
Type: Full Time
·
Qualification: BA/BSc/HND MBA/MSc/MA
·
Experience: 15 years
·
Location: Nairobi
·
Job
Field: Administration / Secretarial
Ref: GCEO-10/2019
The Group seeks to recruit a dynamic and visionary leader to
join this winning team as the Group Chief
Executive Officer (GCEO), reporting to the Group Board of
Directors. The successful candidate will provide strategic direction and
leadership to ensure that the company vision, mission, strategic goals and
objectives are executed and aligned with the corporate values, while ensuring
all legal, corporate governance and regulatory requirements are complied with.
Responsibilities
·
Formulate, implement and ensure
achievement of the Group’s overall business strategy;
·
Provide strategic leadership to the
subsidiary Managing Directors and Regional Offices, serving as the principal
link between the Subsidiary Boards and the Group Board;
·
Provide strategic direction on
matters relating to business performance, new investments and business
opportunities and changes to enhance profitability and shareholder value;
·
Responsible for group shared services
including Finance, Legal, Actuarial, ICT, HR among others;
·
Develop, establish and operationalise
Group policies, and ensure that appropriate management structures and policies
are continuously developed, reviewed and implemented;
·
Establish and manage highly
collaborative relationships with key policy makers, regulators, customers and
other key stakeholders, both locally and internationally, to ensure business
retention and growth;
·
Prepare regular and periodic reports
to the Group Board for strategic direction and qualitative assessment on the
achievement of the planned goals;
·
Ensure operating procedures and
controls are established and communicated to solidify management control and
direction of the organisation; and
·
Practice and promote a culture of
high quality standards, integrity, ethics, diversity, inclusion and corporate
social responsibility across the Group.
Qualifications
·
Be a holder of a Bachelor’s Degree in
any of the following fields: Insurance, Actuarial Science, Business,
Engineering, Law, or any other related field, gained from a recognised
institution. A Post Graduate Qualification in a business related field will be
an added advantage;
·
Be a member in good standing of a
recognised professional body;
·
Certificate in Corporate Governance
will be an added advantage;
·
Have knowledge and relevant work
experience of not less than fifteen (15) years, with at least ten (10) years
served in senior leadership position in an organisation of similar complexity
as CIC Group, and be able to demonstrate P&L responsibility and
accountability;
·
Have proven strategic leadership
skills/experience with a global perspective;
·
Proven organisational and stakeholder
management skill is a key requirement for this position;
·
Be a highly networked individual with
ability to build and maintain relationships beneficial to the organisation;
·
Knowledge of the financial services
industry, or experience in the cooperative movement will be an added advantage;
·
Should have strong business
development focus with proven track record of business turnaround; and
·
Have thorough understanding of
financial management, regulatory compliance, board management, demonstrable
commercial and investment acumen.
How to Apply