Overall accountability encompasses leading strategic initiatives, ensuring alignment with organizational objectives, and driving sustained performance excellence. Responsibilities involve overseeing cross-functional teams, implementing innovative solutions, and maintaining rigorous compliance with established policies and industry regulations. Requirements include five or more years of progressive leadership experience, a proven track record in process optimization, and exceptional communication skills to collaborate effectively with stakeholders at all levels.
The successful candidate will oversee the full lifecycle of insurance claims, from initial submission to final resolution, ensuring compliance with company policies and regulatory standards while delivering accurate and efficient outcomes. This includes thorough evaluation of claims, detailed incident investigations, and clear communication with all stakeholders throughout the process. Responsibilities extend to fulfilling all contractual obligations and mitigating financial exposure by identifying and preventing fraudulent claims, thereby safeguarding the company’s loss ratios and overall profitability.
Oversee a range of critical duties, including the execution of strategic initiatives, the management of cross-functional projects, and the maintenance of high operational standards. Ensure seamless collaboration across departments to achieve organizational objectives, while monitoring performance metrics to drive continuous improvement. Act as a key liaison between senior leadership and operational teams, translating high-level goals into actionable plans. Additionally, identify and mitigate potential risks, ensuring compliance with industry regulations and internal policies.
Responsible for the initial assessment and estimation of reserves for newly reported claims.
Evaluates claims to determine coverage eligibility per policy terms.
Provide guidance on resolving claims through appropriate settlement approaches.
Inform clients promptly regarding the approval of their claims and provide a detailed breakdown of the allocation process.
Responsibilities include reviewing and validating service provider reports and recommendations, drafting repair authorization letters to garages, and composing courtesy vehicle correspondence.
Seasoned loss adjusters and investigators are appointed to meticulously examine suspicious claims and finalize investigations within the designated timeframes.
Preparation and distribution of discharge vouchers for authorized offers, alongside issuance of official offer letters, are required duties.
Reviewing files post-payment and verifying claims payment vouchers before dispatching them are key responsibilities of this role. Ensuring accuracy and completeness in the processing and distribution of payment documentation is essential to the position.
Ensure prompt and efficient handling of all inquiries and payments without delay.
Process and manage payments to service providers with precision and timeliness.
Third-party recovery specialists are tasked with pursuing delinquent accounts assigned by external creditors, ensuring the collection of outstanding debts while maintaining compliance with regulatory requirements and company policies. They analyze debtor financial profiles, negotiate repayment terms, and document all interactions to support audit trails and legal proceedings when necessary. These professionals must possess strong interpersonal skills, resilience in handling objections, and a deep understanding of debt collection laws to minimize disputes and maximize recovery rates. Proficiency in customer relationship management systems and data tracking tools is essential, along with the ability to work both independently and collaboratively within a team-driven environment.
Proficient candidates must demonstrate a robust set of technical abilities and professional attributes to excel in this role. Essential qualifications include strong analytical thinking, meticulous attention to detail, and exceptional problem-solving capabilities. Proficiency in industry-specific tools and software is mandatory, as is the ability to communicate effectively with stakeholders at all levels. Collaborative teamwork, adaptability to changing priorities, and a commitment to continuous learning are also critical. Prior experience in a similar capacity is highly desirable, ensuring the successful applicant can contribute meaningfully from the outset.
Proven ability to communicate effectively and collaborate seamlessly with diverse teams and stakeholders across various levels of an organization.
Proven ability to plan and organize tasks efficiently with meticulous attention to detail.
Must demonstrate strong composure and effectiveness in high-pressure environments.
Proven ability to analyze complex situations, evaluate potential solutions, and make timely, well-informed decisions to drive effective outcomes.
Proficient in understanding and adhering to the industry’s rules and regulations.
A results-oriented and customer-centric professional who thrives in dynamic environments while prioritizing exceptional service delivery and measurable outcomes.
Proficiency in the insurance sector, with a focus on their specific domain—whether fire, life, accident, or marine insurance—is essential.
Proficiency in pertinent legal statutes and regulations is essential, along with a comprehensive knowledge of industry-specific compliance requirements and applicable legal frameworks.
Seeking candidates with a robust background in the relevant field, along with practical experience in similar roles. Ideal applicants should possess a deep understanding of industry standards, best practices, and emerging trends. Prior hands-on experience in a professional setting is required to effectively execute job duties. The role demands a blend of technical expertise and problem-solving skills to navigate complex challenges. Applicants must demonstrate a track record of delivering measurable results in previous positions. Strong communication and teamwork abilities are essential to collaborate with colleagues and stakeholders. Familiarity with key tools, technologies, and methodologies pertinent to the role is also a necessity.
With a minimum of one year of professional experience in claims handling, candidates possessing underwriting expertise will be given preference.
Academic and Professional Qualifications Required
A bachelor’s degree in a relevant field, such as education, psychology, or a related discipline, is essential. Additionally, possession of a valid teaching certification or license is required. Relevant professional experience, preferably in an educational or instructional setting, is strongly preferred. Candidates should also demonstrate a commitment to ongoing professional development and continuous learning.
A bachelor’s degree in Actuarial Science, Statistics, or a related business discipline is required for consideration.
A diploma in Insurance from the Insurance Institute of Kenya (INK) or its equivalent is required. Alternatively, candidates currently pursuing such a qualification may also apply.
Applications must be submitted to the Group Human Resources Manager at Madison Group Limited by emailing hr_recruitment@madison.co.ke, with a submission deadline of Friday, June 19, 2026.
Qualifications
BA/BSc/HND , Diploma
Experience Required
1 year
