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.
Detailed Duties and ResponsibilitiesReporting to: Manager – Medical Division.
Job Summary: Coordinate and manage all: Business renewals, Marketing, Underwriting, Claims, undertaking and Customers service at Branch level.
- 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
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
- Manual premium
data control
- Updating the U/W
files by separating the active and lapsed ones
- Creating a general
file of various clientele by placing all the necessary mails and
correspondence
- Filling all the
policy endorsements in the respective policy binders
- Attaching all
policy mclarens reports and correspondences in the respective marine
certificates
- Liaising with
ICT department during reconciliation of premiums
- 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.
