Responsible for overseeing and managing all primary duties associated with the position, ensuring adherence to organizational standards and objectives. Accountable for directing team efforts toward the successful completion of projects and the achievement of performance targets. Required to maintain effective communication channels with stakeholders to foster collaboration and address operational challenges. Demonstrates leadership in decision-making processes while upholding accountability for outcomes. Must possess strong problem-solving abilities, adaptability to changing circumstances, and a commitment to continuous improvement in processes and outcomes.
The incumbent will oversee the processing and administration of insurance claims, guaranteeing precise and expedited resolutions in adherence to established company policies and procedures. This includes assessing claims, conducting thorough investigations of incidents, liaising with relevant parties, and overseeing all stages of the claim process—from initial reporting to final settlement. Additionally, the role will ensure fulfillment of the company’s commitments and obligations related to assumed risks on behalf of clients. The position will also identify and mitigate fraudulent claims to reduce costs and sustain optimal loss ratios.
Oversee a comprehensive range of critical duties, including [list responsibilities here], ensuring alignment with organizational objectives and industry standards. Collaborate with cross-functional teams to drive project execution, fostering innovation and efficiency in all operational processes. Develop and implement strategic initiatives that enhance productivity, while maintaining rigorous adherence to compliance and quality benchmarks. Serve as a key liaison between leadership and staff to facilitate transparent communication and streamline decision-making frameworks. Monitor performance metrics and KPIs to identify areas for improvement, implementing corrective actions where necessary.
New claims are initially reserved upon their inception. This entails establishing initial reserve amounts for newly reported claims.
Evaluate claims to determine their eligibility under the applicable insurance policy.
Provide strategic guidance on the resolution of claims to ensure fair and equitable outcomes.
Professionals will notify clients once claims are approved, detailing the allocation of funds or benefits as applicable.
Analyzing and validating service provider reports and recommendations, the incumbent drafts repair authorization letters for garages and composes courtesy vehicle correspondence.
Appointment of loss adjusters and investigators is required to examine suspicious claims within the designated timeframes, ensuring thorough and timely resolution.
Responsibilities include preparing and distributing discharge vouchers for approved offers, as well as composing and issuing formal offer letters. The role entails finalizing documentation to ensure accuracy and compliance with established procedures.
Reviewing files post-payment and verifying claims payment vouchers before dispatching them constitutes a key responsibility of the role. This task ensures accuracy and compliance in the processing and distribution of payment-related documentation.
Ensure prompt handling of all inquiries and payments.
Responsible for processing payments to service providers, ensuring accuracy and timeliness in all transactions.
Responsible for overseeing and executing third-party recovery operations, ensuring the identification, assessment, and collection of outstanding debts from external entities. This role involves collaborating with legal teams, financial institutions, and debtors to negotiate payment plans, resolve disputes, and enforce collection actions when necessary. Proficiency in recovery processes, strong negotiation skills, and adherence to regulatory compliance are essential requirements for success in this position.
We seek candidates with a strong foundation in relevant technical proficiencies and interpersonal abilities to excel in this role. Essential qualifications include proficiency in specific software or tools relevant to the position, along with demonstrated problem-solving capabilities and attention to detail. Strong communication skills are necessary to collaborate effectively with team members and stakeholders, while adaptability and a willingness to learn are critical for navigating evolving challenges. Additionally, prior experience in similar roles or industries may be required to ensure a smooth transition and immediate contribution.
Proven ability to communicate effectively and build strong interpersonal relationships across diverse teams and stakeholders.
Demonstrates exceptional proficiency in planning and organization, with a strong ability to manage tasks efficiently and coordinate resources effectively.
Thrives in high-pressure environments while maintaining composure and productivity.
Proven ability to analyze complex situations, identify root causes, and implement effective solutions with sound judgment.
Proficient in understanding and adhering to the industry’s rules and regulations.
Driven by tangible outcomes and a steadfast commitment to customer satisfaction, this role prioritizes measurable achievements while maintaining a high standard of service excellence.
Professionals should possess a solid grasp of the insurance sector, with a focus on the specific domain in which they operate—whether fire, life, accident, or marine insurance.
A strong familiarity with applicable legal frameworks and regulations is essential.
Seeking a candidate with substantial knowledge and relevant work experience in the specified field. The ideal applicant will possess a proven track record of applying expertise to deliver measurable results. Prior hands-on experience in a similar role is essential, as is familiarity with industry best practices and emerging trends. The position requires the ability to leverage professional experience to solve complex challenges and drive operational excellence.
Requires a minimum of one year of professional experience in claims management, with prior underwriting experience considered beneficial.
Academic and Professional Qualifications necessary for the role include a relevant degree in the specified field, along with professional certifications or accreditations where applicable. Candidates should possess a minimum number of years of experience in a related profession, demonstrating progressive responsibility and expertise. Additional requirements may include specialized training, membership in professional organizations, or adherence to industry-specific standards. Fluency in relevant languages, advanced technical skills, or compliance with regulatory obligations could also be essential.
Hold a bachelor’s degree or higher in Actuarial Science, Statistics, or a closely related business discipline.
Holders of an Insurance Diploma (INK) or those currently pursuing one are encouraged to apply.
Applications must be submitted to the Group Human Resources Manager at Madison Group Limited by emailing hr_recruitment@madison.co.ke, ensuring receipt no later than Friday, June 19, 2026.
Qualifications
BA/BSc/HND , Diploma
Experience Required
1 year
