Assistant Medical Underwriter. Case Manager/Claims Analyst

JOB PURPOSE
The jobholder is responsible for the assessment and determining terms for medical risks.
PRINCIPAL ACCOUNTABILITIES
Underwriting Role

Assess the new and existing risks and ensure that they are adequately rated and commensurate with the terms and conditions advised and endorsed to retain profitability of the medical portfolio.
Provide competitive quotations to all customers promptly within the standards set.
Membership management; additions and cancellations.
Scheme set up, benefits set up and membership updates in the system
Timely and accurate debiting of premium and cover conditions and that the documentation is in compliance with set standards and procedures.
Ensure that medical insurance cards are issued in an efficient timely and accurate manner
Prepare and send renewal notice within stipulated timeline and co-ordinate follow up of the renewals to achieve renewal capture targets.
Ensure policy endorsements & documents are accurate and made within the standards of service, and ensure timely dispatch
Train various stakeholders on company products for increased knowledge and growth of business
Monitor scheme loss ratios and adjust renewal terms accordingly
Assist with business acquisition through follow up on quotes and intermediary visits.
Ensure business is booked as per the company’s credit policy and follow up on payment plans.

Customer Service Role

Continuously monitor the outpatient fund and check on prudent utilization of cover reporting any anomaly noted and ensure timely invoicing for top up.
Provide benefit utilization reports as per the standards of service set out in the customer charter
Provide timely feedback to client’s queries and concern as per service charter provisions.
Maintain client and intermediary relationships through visits

KNOWLEDGE AND EXPERIENCE
Qualifications:
Minimum Academic Qualifications

A Bachelor’s degree in Actuarial science/Statistics from a recognized University.

Professional Qualifications

Diploma in Insurance

Experience:

Entry Level to 6 months of experience.

SKILLS AND COMPETENCIES

Stakeholder Management
Analytical skills
Teamwork
Interpersonal and communication skills
Accuracy/Keen to detail
Commitment & dedication
Decision making
Customer oriented
Planning and organization skills

go to method of application »

Applications with a detailed CV, indicating your telephone contacts with names and addresses of three referees should be emailed to careers@paciskenya.com not later than Thursday 9th March 2023.

Apply via :

careers@paciskenya.com