Business Processing and Compliance Officer
Key responsibilities:
Process all policies new and renewal
as per SLA and within the set guidelines.
Preparation of data upload files-
Benefit set up and Member upload files and ensure set up of correct benefits
for each corporate schemes and Retail policies.
Process all claims from service
providers, sort out invoices with reconciliations issues shared by finance
(stuck invoices within the process, resubmissions).
Process all reimbursements as per SLA.
Process all endorsements as per SLA.
System testing, validation and
continuous innovation on processes and training of colleagues as required from
time to time.
Performing Quality assurance on
captured claims ensuring reduced reconciliation challenges and that business
does not suffer any loss from fraudulent claims.
Ensure customer data quality and
compliance is maintained across all operations as required.
Schemes reconciliation and maintenance
of client data – Data reconciliation for Renewals and New Business policies.
Master policy creation and
conversation for new retail policies.
Processing of retail policies and
advising finance on receipt and allocation of premiums for retail policies
booked.
Preparation and request of medical
cards within set TAT and maintaining clear records on requested and issued
cards to clients.
Preparation and presentation of
departmental and business reports – Daily and Monthly reports.
Maintain regular internal (to staff)
and external (to customers) communication on Customer Service matters
implementing customer experience strategy for the company.
Delegated Authority: As per the
approved Delegated Authority Matrix.
Key
Performance Measures:
As described in your Personal Score Card
Knowledge, experience
and qualifications required:
Bachelor’s degree in a
business-related field.
At least 4-6 years’ experience in a
similar position.
Progress in Professional qualification
in Insurance (ACII, FLMI or IIK).
Computer Literate; emphasis on
Microsoft Office and EDMS.
Technical/ Functional competencies:
Knowledge of insurance regulatory
requirements.
Knowledge of insurance products.
Good communication and customer
service skills.
Should possess functional knowledge,
be result oriented and have problem solving skills.
Consistency in adherence to the
application of established policies, processes, procedures and tools in
achieving compliance requirements, optimal efficiency, and resource
utilization.
Interpersonal skills to effectively
communicate with and manage expectations (internal) and other stakeholders who
impact performance.
Self-empowerment to enable development
of open communication, teamwork and trust that are needed to support
performance and customer-service oriented culture.
Ability to take
initiative/responsibility to ensure that daily duties, routines and related
additional tasks are completed timely.
Leadership category
responsibility framework (Core Competencies):
A Business Processing and Compliance
Officer Individual in Britam needs to:
Ensure the company’s objectives are
met by being a vision carrier and by implementing strategy and operational
outputs.
Effectively identify and define key
performance areas, deadlines and goals for the team in order to optimise
operational effectiveness.
Effectively disseminate knowledge
within the correct context, towards subordinates as well as management.
Appropriately model the company values
while setting the pace and energy for delivering results.
Benchmark operational activities
internally as well as externally in order to be a leader in the industry.
Effectively manage and communicate
change within the department in order to increase staff and process
effectiveness.
Ensure that department priorities are
adhered to and effectively communicated.
Effectively set and monitor priorities
and objectives for more junior staff.
Provide access to accurate and
consistent information and services across all channels.
Adequately manage operational risk.
Increase and aid in well-informed decisions through the delivery of expertise.
Ensure a seamless and Improved service
delivery for clients.
Engage in continuous brand building to
become the trusted partners to clients.
How to Apply
