Responsible for overseeing and managing all assigned duties to ensure efficient and effective execution of tasks. Accountable for directing teams, coordinating projects, and optimizing processes to meet organizational objectives. Required to develop and implement strategies that enhance productivity, quality, and performance across departments. Must possess strong leadership skills, problem-solving abilities, and a commitment to achieving measurable results. Expected to maintain open communication with stakeholders, provide guidance to staff, and foster a collaborative work environment.
The incumbent will oversee the end-to-end administration of insurance claims, guaranteeing precise and efficient resolutions in accordance with established company policies and protocols. Responsibilities include assessing claims, conducting thorough investigations, liaising with relevant stakeholders, and overseeing the entire claim lifecycle—from initial notification to final adjudication. This role ensures adherence to all contractual obligations and commitments made by the company on behalf of its clients. Additionally, the position plays a critical role in identifying and mitigating fraudulent claims to reduce associated costs and maintain optimal loss ratios.
Key Accountabilities:
Oversee and execute the full spectrum of duties associated with the assigned role, ensuring alignment with organizational objectives and established standards. Facilitate cross-functional collaboration to drive seamless operations and timely project completion. Analyze performance metrics to identify trends, areas for enhancement, and opportunities for innovation. Prepare and present detailed reports to stakeholders, summarizing progress, challenges, and strategic recommendations. Maintain rigorous adherence to compliance protocols, risk management frameworks, and ethical guidelines to safeguard organizational integrity. Provide mentorship and training to team members to foster professional growth and operational excellence.
New claims are initially reserved, establishing preliminary financial provisions to address potential liabilities.
Evaluate claims to determine their eligibility for coverage under the applicable policy terms.
Provide strategic guidance on the resolution of claims to ensure equitable and efficient outcomes.
Ensure clients are promptly notified regarding the approval of their claims and receive clear details about the allocation of funds.
The incumbent is responsible for evaluating and verifying service provider reports and recommendations, developing repair authorization letters for garages, and drafting courtesy vehicle correspondence.
Qualified loss adjusters and investigators will be engaged to conduct thorough examinations of potentially fraudulent claims, ensuring strict adherence to established deadlines throughout the investigative process.
The generation of discharge vouchers for sanctioned offers, along with the preparation of offer letters, is required.
Responsibilities include verifying claims payment vouchers for accuracy, ensuring timely dispatch, and conducting post-payment file reviews to confirm compliance with established procedures.
Ensure prompt handling of all inquiries and payments.
Facilitate the disbursement of payments to service providers in a timely and accurate manner.
Third-party recovery specialists are tasked with pursuing overdue payments from external entities, including customers, vendors, or insurance companies, to optimize financial outcomes. This role requires a keen understanding of debt collection practices, negotiation tactics, and compliance with relevant regulations. Responsibilities include investigating delinquent accounts, initiating contact with debtors, and documenting all recovery efforts for auditing purposes. Strong communication skills, persistence, and adherence to ethical standards are essential to effectively resolve outstanding balances while maintaining positive stakeholder relationships.
Proficient candidates must demonstrate expertise in relevant technical or functional areas, exhibit strong analytical and problem-solving capabilities, and possess excellent communication and teamwork skills. Prior experience in similar roles, coupled with a proven track record of achieving measurable results, is essential. Additionally, familiarity with industry-standard tools, methodologies, and best practices is required. The ideal applicant will exhibit adaptability, a commitment to continuous learning, and the ability to thrive in a fast-paced, collaborative environment. Strong organizational and time management skills are also necessary to meet deadlines and prioritize tasks effectively.
Proven ability to communicate effectively and build strong interpersonal relationships is essential.
Demonstrates exceptional proficiency in strategic planning and meticulous organizational capabilities.
Ability to thrive in high-pressure environments and meet deadlines efficiently while maintaining composure and productivity is essential.
Proven ability to analyze complex situations and make sound decisions efficiently, demonstrating strong problem-solving capabilities.
Proficient in understanding and adhering to the industry’s standards, guidelines, and regulatory requirements.
Results-oriented and client-centric professional committed to delivering exceptional outcomes while prioritizing customer satisfaction.
Proficiency in the insurance sector, with a focus on the relevant domain—be it fire, life, accident, or marine insurance—is essential.
Proficient knowledge of applicable legal frameworks and regulatory requirements pertinent to the role is essential.
Experienced professionals with a strong background in the relevant field are encouraged to apply. Candidates must possess a minimum of five years of hands-on experience, along with a proven track record of success in similar roles. Familiarity with industry-specific tools, methodologies, and best practices is essential for delivering exceptional results. Additionally, a deep understanding of core principles and the ability to apply them effectively in diverse scenarios are required.
A minimum of one year of professional experience in claims handling is required, with prior underwriting experience considered an additional benefit.
Academic and Professional Qualifications Required
A doctoral degree in a relevant field is essential, along with a proven track record of high-quality research publications. Candidates must possess at least five years of professional experience in their specialization, demonstrating expertise through leadership roles or advanced project contributions. Strong analytical and problem-solving skills are imperative, complemented by exceptional written and verbal communication abilities. Familiarity with industry-specific methodologies, tools, and ethical standards is also required. Additionally, applicants should exhibit a commitment to continuous learning and professional development to maintain relevance in a dynamic academic and professional landscape.
A Bachelor’s degree in Actuarial Science, Statistics, or a related Business field is required.
A diploma in Insurance from the Institute of Insurance Knowledge (INK) or equivalent ongoing studies is required 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, ensuring receipt no later than Friday, 19th June 2026.
Qualifications
BA/BSc/HND , Diploma
Experience Required
1 year
