Kenya Orient Insurance
Limited
Job Title: Claims
Manager
Division / Department: Claims
Immediate Supervisor: Managing
Director
Overall Responsibility: The position is responsible for effectively managing and directing all functions of the Claims Department; including budget, staffing, talent management, staff development and performance management, expense control, quality control and service to both external and internal customers.
Overall Responsibility: The position is responsible for effectively managing and directing all functions of the Claims Department; including budget, staffing, talent management, staff development and performance management, expense control, quality control and service to both external and internal customers.
- In liaison
with the MD formulating and monitoring the claims Department
strategic plans
- Recruit and
motivate employees in line with the organization strategic plans a
and ensure compliance with company HR policies/ procedures
- Facilitate and
support talent management, performance management and development
- Build a
supportive, team-orientated environment for the staff through embodying a
sense of empowerment, demonstrating positive thinking and establishing
common goals and interdependence with the employees.
- Ensure
in-depth, investigation of actual claims through direct or indirect
contact with policyholders, claimants, other carriers, physicians,
contractors, attorneys ensuring that any detected fraud case is handled as
per company policy guidelines.
- Control and
direct activities of defense counsel, directly or indirectly through staff
- Ensure all
applicable claims are reported accurately and timely to reinsurance as
required by procedure.
- Co-ordinate
and maintain expeditious and efficient processing of claims and ensure
customer needs are attended to promptly.
- Ensure
compliance with statutory regulatory bodies
- Prepare annual
budget for the department and ensure proper budgetary control.
- Analyse claims
data to identify issues, and ensure that all relevant issues relating to
underwriting policies, re-insurance arrangements, and product pricing are
identified and communicated to relevant manager.
- Set standards
(benchmarks) for measuring the performance of strategic customer
relationship and communication.
- Review settled
insurance claims to determine that payments and settlements have been made
in accordance with company practices and procedures.
- Confer
with legal counsel on claims requiring litigation.
- Develop tools
and recommendations for risk management / fraud detection
- Ensure that
all claims fall within scope of respective insurance policy.
- Coordinating
the preparation of weekly claims statistics.
- Control
administrative costs through effective budgeting, appropriate staffing and
close monitoring of ongoing expense allocations.
- Identify,
appoint and maintain an efficient and effective evaluation of service
providers.
- Prepare
periodical claims report and other management reports relating to claims
and ensure that remedial action is taken promptly
- Set reserves
on files and distributed reserve and settlement authority to claims staff
within corporate guidelines.
- Any other
duties that may be assigned by the MD from time to time.
Requirements
- A bachelor’s
degree from a recognized University.
- A diploma in
Insurance (ACII, AIIK or equivalent)
- Master’s
Degree
- 8 years’
relevant working experience, four( 4) of which should have been at Section
Head level or above
Competencies
- Analytical
Thinking
- Customer
orientation
- Holding People
accountable
- Leadership and
developing others
- Relationship
building for influence
- Team working
- Innovation
How to Apply:
If you are interested in the
position and have the required qualifications, skills and experience, kindly
visithttps://korient.co.ke/careers/ and submit
your application on or before Wednesday, September 15th 2017.
Job Title: Assistant
Manager - Reinsurance
Division / Department: Underwriting
Immediate
Supervisor: Assistant General Manager - Underwriting
Overall Responsibility: The position is responsible for reviewing all risks acceptances to ensure they are protected by proper reinsurance arrangement on a back to back basis without any gaps in risks accepted and reinsurance protection availed.
Overall Responsibility: The position is responsible for reviewing all risks acceptances to ensure they are protected by proper reinsurance arrangement on a back to back basis without any gaps in risks accepted and reinsurance protection availed.
Key Tasks, Duties and
Responsibilities
- Review all risks
acceptances to ensure they are protected by proper reinsurance arrangement
on a back to back basis without any gaps in risks accepted and reinsurance
protection availed.
- Peruse the
reinsurance register on daily basis to ensure risks are correctly allocated
into the relevant treaties
- Review
reinsurance exclusions and recommend deletion where necessary
- Analyse inward
facultative accepted by the reinsurance section and evaluate the cedant
exposure, adequacy of premium, appropriateness of the terms and conditions
of each and every risk accepted.
- Prepare
reinsurance underwriting and claims statistics including outstanding
claims and reinsurance recoveries for reinsurance renewals and review of
profitability of the reinsurance program.
- Grow inward
facultative business as per set target in the budgets through acquisition
of new business supporters and retention of existing business.
- Place all
risks that are in excess of capacity in a timely manner with reputable and
financial stable underwriters or reinsurers in liaison with the AGM
Underwriting
- In liaison
with the Claims department, Identify, document and follow up recovery
settlement of all claims above the deductibles in the treaty
- Review
corporate non motor quotations prepared by the marketing department
- Issue
quotations for fairly large risks
- Sign non motor
Policy documents from branches and ensure timely dispatch as per set TAT
- Train and
Mentor underwriting staff
- Prepare
various management reports for discussion with AGM Underwriting
Requirements
- Bachelor’s
degree – Bachelor of Commerce (Insurance), BSC Actuarial or any other
Business Related
- ACII or AIIK.
Considerable progress may be considered
- Minimum 5
years underwriting / reinsurance experience three of which must be a
concentration on reinsurance work
Competencies
- Knowledge in
Reinsurance/Underwriting and pricing
- Risk
perception and assessment
- Ability to
lead and develop others
- Ability to
build relationships, innovative, analytical thinking and customer
orientation.
How to Apply:
If you are interested in the
position and have the required qualifications, skills and experience, kindly
visit https://korient.co.ke/careers/ and submit
your application on or before Wednesday, September 13th 2017.
We are an equal opportunity employer
We are an equal opportunity employer