GA Insurance Jobs in Mombasa Kenya


Job Title: Medical Division Officer – Mombasa Branch 

Reporting to:  Manager – Medical Division.

Job Summary: 

Coordinate and manage all: Business renewals, Marketing, Underwriting, Claims, undertaking and Customers service at Branch level.

Detailed Duties and Responsibilities
  • Ensuring business renewals and follow ups.
  • Processing business quotations
  • Register new business – as per targets agreed on the departmental budget.
  • Source from renewing clients and cross selling with General Insurance clients
  • Cover write up to clients for review
  • Policy documents issuing
  • Proper client documentation on file.
  • Minimize losses by ensuring thorough vetting of all claims before forwarding them for approval.
  • 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
  • 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
  • Ensure all clients queries are responded to timely & professionally in line with GA procedure and policies
  • Contact clients for conducting cover presentations and health talks Reconciliations
  • 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
  • Computer skills.
  • Good communication Skills.
  • Ability to make decisions and solve problems.
  • Insurance knowledge in underwriting procedures.
Credentials and Experience
  • University degree or equivalent.
  • 3 years in a busy medical underwriting department.
  • Insurance Professional qualification (ACII, AIIK).
Special Requirements
  • Ability to meet strict deadlines and targets
  • Ready and willing to work in Mombasa.
NB: Please indicate your notice period and current salary on your C.V.

Title: Relationship Officer (Health Division)

Reports to: Head of Health Division

Job Summary: To ensure customer satisfaction through efficient health insurance claims services, marketing and underwriting. Ensuring retention and Generating of new business so as to achieve the set departmental budget

Duties and Responsibilities
  • Renewal invitations
  • New and existing business Quotations
  • Customer service
  • Marketing
  • Claims processing
  • Negotiating with doctors for cost control
  • Accounts performance review
  • Credit control
  • Clients visits
  • Vetting claims
  • Underwriting
Knowledge, skills and Abilities
  • Technical competence
  • Interpersonal skills
  • Ability to handle large volumes
  • Ability to work under no supervision
  • Organisational skills
Credentials and Experience
  • University degree or equivalent.
  • 3 years in a busy medical underwriting department.
  • Insurance Professional qualification (ACII, AIIK).
NB: Please indicate your notice period and current salary on your C.V.

If you meet the above minimum requirements, send your c.v to henry@gakenya.com indicate the position applied for on the email subject line so as to be received on or before 3rd October, 2012.