GA Insurance Jobs in Kenya

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 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

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
·                     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.

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