Responsible for overseeing and managing all assigned tasks and operations to ensure alignment with organizational goals and objectives. Accountable for coordinating efforts across teams, delegating responsibilities, and maintaining clear communication channels to foster productivity and efficiency. Ensures adherence to company policies, industry regulations, and best practices while driving performance improvements and measurable outcomes. Collaborates with leadership to develop strategic initiatives, optimize processes, and allocate resources effectively to support long-term growth and success.
The incumbent will oversee the end-to-end administration of insurance claims, guaranteeing precise and expeditious outcomes in strict adherence to organizational policies and protocols. This encompasses assessing claims, conducting thorough inquiries into incidents, liaising with relevant stakeholders, and overseeing all stages of the claims’ lifecycle—from initial notification to final resolution. Additionally, the role will ensure the fulfillment of all contractual obligations and commitments made by the company on behalf of its clients. A key responsibility will involve identifying and mitigating fraudulent claims to reduce associated costs and maintain optimal loss ratios.
Key responsibilities include overseeing daily operations to ensure seamless workflow, managing team performance and productivity, and implementing strategies to meet organizational goals. Additionally, the role involves collaborating with cross-functional departments to align initiatives, reviewing and analyzing performance metrics to drive continuous improvement, and maintaining compliance with company policies and industry regulations. The position also requires delegating tasks effectively, fostering a positive work environment, and addressing any operational challenges promptly to sustain efficiency and effectiveness.
New claims are initially reserved, establishing initial estimates for financial provisions.
Evaluate claims to determine their eligibility under the applicable policy terms. Assess each submission thoroughly to ascertain whether it meets the coverage criteria specified in the policy documentation.
Offer guidance on resolving claims in a manner that ensures equitable and timely settlements.
Upon acceptance of claims, clients will be promptly notified regarding the decision and the specific allocation of funds, ensuring transparency and clarity throughout the process.
Analyzing and verifying service provider reports and recommendations, we draft repair authorization letters to garages and compose courtesy vehicle letters.
Skilled loss adjusters and investigators are engaged to meticulously examine questionable claims, ensuring thorough and timely investigations are conducted within the designated deadlines.
Responsible for preparing and issuing discharge vouchers for approved offers as well as letters of offer.
Responsibilities include verifying claims payment vouchers for accuracy, processing and dispatching approved payments, and conducting post-payment file reviews to ensure compliance and completeness.
Ensure prompt handling of all inquiries and payments to maintain efficient service delivery.
Facilitate the timely and accurate disbursement of payments to service providers in accordance with established financial protocols and vendor agreements.
Third-party recovery specialists are tasked with identifying and collecting outstanding debts owed by customers, vendors, or other entities to the organization. Responsibilities include evaluating credit risks, negotiating payment plans, and pursuing legal action when necessary to recover funds. Proficiency in financial analysis, strong communication skills, and a thorough understanding of debt collection regulations are essential. Prior experience in collections, accounts receivable, or a related financial field is typically required, along with the ability to handle sensitive situations with professionalism and discretion.
The ideal candidate must possess a comprehensive set of technical proficiencies and professional capabilities. Strong analytical and problem-solving skills are essential for effectively navigating complex challenges. Exceptional communication abilities, both written and verbal, are necessary to articulate ideas clearly and collaborate seamlessly with stakeholders. Proficiency in relevant software, tools, or industry-specific technologies is required to execute tasks efficiently. Leadership and teamwork competencies are crucial for guiding projects and fostering a collaborative work environment. Additionally, the ability to adapt to evolving priorities and demonstrate a commitment to continuous learning is highly valued.
Accomplished interpersonal and communication abilities are essential for fostering productive relationships and facilitating seamless collaboration within the team.
Accomplishes tasks with precision through strong planning and organizational abilities;
Proficient in maintaining productivity and composure in high-pressure environments while meeting tight deadlines and managing competing priorities effectively.
Proven ability to analyze complex situations and make sound decisions efficiently.
Skilled in interpreting and applying the industry’s governing laws, standards, and best practices to ensure full compliance in all operational activities.
Results-oriented and highly committed to customer satisfaction, this role demands a proactive approach to delivering exceptional service and achieving measurable outcomes.
Familiarity with the insurance sector, with a focus on the specific domain of expertise—whether in fire, life, accident, or marine insurance—is essential.
Demonstrates familiarity with applicable legal frameworks and regulatory requirements pertinent to the role.
We seek candidates with relevant academic credentials and practical expertise in the field. Applicants should possess a minimum of three years of hands-on experience in a comparable role, along with a degree or certification pertinent to the position. Familiarity with industry-standard tools, methodologies, and best practices is essential, as is the ability to apply theoretical knowledge to real-world challenges.
We seek candidates with at least one year of hands-on experience in claims processing, with prior underwriting expertise viewed favorably.
Required qualifications include a relevant academic background and professional experience, typically demonstrated through an advanced degree in a pertinent field alongside substantial, hands-on experience in a comparable role.
Hold a Bachelor’s degree or higher in Actuarial Science, Statistics, or a closely related business field.
A relevant qualification in Insurance, such as the INK Diploma or an equivalent program currently in progress, is essential for this role.
Applications must be submitted to the Group Human Resources Manager at Madison Group Limited via email at hr_recruitment@madison.co.ke, with a deadline of Friday, June 19, 2026.
Qualifications
BA/BSc/HND , Diploma
Experience Required
1 year
