Overall accountability involves leading and overseeing all aspects of the assigned role to ensure alignment with organizational objectives. This encompasses strategic planning, execution of key initiatives, and maintaining high performance standards. Key responsibilities include managing teams, fostering collaboration, and driving continuous improvement across departments. Additionally, the position requires adherence to company policies, compliance with industry regulations, and the ability to adapt to evolving business needs. Strong leadership, analytical skills, and a proactive approach are essential for success in this dynamic environment.
The position involves overseeing the full lifecycle of insurance claims, from initial submission to final resolution, with a focus on accuracy and efficiency in accordance with established company guidelines. Responsibilities include thorough evaluation of claims, conducting detailed investigations into incidents, and maintaining clear communication with all relevant stakeholders. The role ensures the fulfillment of contractual obligations by the company on behalf of its clients while actively identifying and preventing fraudulent activities to reduce claim expenses and sustain optimal loss ratios.
Key Accountabilities: Overseeing critical operational tasks, this role involves executing primary duties with precision, including managing project timelines, coordinating team efforts, and ensuring adherence to organizational policies. Additionally, the position requires conducting thorough performance evaluations, maintaining accurate documentation, and addressing any procedural discrepancies promptly. Collaboration with cross-functional teams, stakeholder communication, and adherence to best practices in the field are essential components of this role.
Professional Rewriting:
Establishing initial reserves for newly reported claims constitutes a key responsibility within this role.
Assess claims to determine coverage eligibility in accordance with policy terms.
Provide strategic recommendations to resolve claims in an optimal manner.
Professionals must communicate to clients the acceptance of claims as well as the allocation of funds in a clear and timely manner.
Analyzing and verifying service providers’ reports and recommendations, we prepare repair authorization letters for garages as well as courtesy vehicle letters.
Responsible for recruiting and deploying Loss Adjusters and Investigators to examine questionable claims within the specified deadlines.
The creation and distribution of discharge vouchers for authorized offers, along with the preparation of formal offer letters, are key responsibilities.
Responsibilities include verifying claims payment vouchers and ensuring their timely dispatch, as well as conducting post-payment file reviews to confirm accuracy and completeness.
Ensure prompt handling of all inquiries and payments.
Oversee the disbursement of payments to service providers, ensuring accuracy, timeliness, and compliance with established financial procedures and contractual obligations.
Third-party recoveries involve the process of collecting outstanding debts or obligations from external entities that owe payments to the organization, often necessitating legal or financial intervention. This role requires a keen understanding of debt collection regulations, negotiation tactics, and financial reporting ensuring compliance and maximize recovery outcomes. Responsibilities include identifying delinquent accounts, initiating contact with debtors, documenting collection activities, and collaborating with legal teams to pursue unresolved cases. Strong communication skills, persistence, and proficiency in financial systems are essential to navigate the complexities of third-party recovery processes effectively.
Proven expertise in essential technical proficiencies and professional capabilities is required for this role. Candidates must demonstrate a strong foundation in relevant tools, methodologies, and frameworks necessary to execute job responsibilities effectively. Exceptional analytical thinking, problem-solving abilities, and meticulous attention to detail are critical for success. Effective communication skills, both written and verbal, are indispensable for collaborating with teams and stakeholders. Proficiency in industry-specific software, systems, or platforms may be essential, depending on the position. Prior experience in similar environments or roles is often necessary to ensure a seamless transition and immediate contribution. A commitment to continuous learning and adaptability to evolving industry standards and best practices is highly valued.
Proven ability to communicate effectively and build strong interpersonal relationships;
Demonstrates exceptional proficiency in planning and organization, with a keen ability to structure tasks efficiently and prioritize effectively.
Capable of performing effectively in high-pressure environments while maintaining productivity and composure.
Proven ability to analyze complex situations and make well-informed decisions efficiently.
Proficient in understanding and adhering to the industry’s governing rules and regulations, ensuring full compliance with all applicable standards.
Results-oriented and highly customer-focused professional, driven by a commitment to delivering exceptional service and achieving measurable outcomes.
Proficiency in the insurance sector, with a specific focus on the relevant domain—whether fire, life, accident, or marine insurance—is essential.
Demonstrates a solid grasp of applicable regulatory frameworks and legal requirements pertinent to the role.
Seeking a candidate with a strong academic background and relevant professional experience in the specified field. The ideal applicant should possess comprehensive knowledge of industry standards, best practices, and emerging trends. Several years of hands-on experience in a similar role is highly preferred, with a proven track record of delivering measurable results. Familiarity with key tools, methodologies, and compliance requirements is essential. Additionally, the ability to analyze complex problems, propose innovative solutions, and collaborate effectively within a team is required. Strong communication skills, both written and verbal, are necessary to convey ideas clearly and interact with stakeholders at all levels.
We seek candidates with at least one year of professional experience in claims handling, with prior underwriting experience being an added benefit.
A master’s degree in a relevant field, along with a minimum of five years of progressive professional experience in a comparable role, is essential for this position. Candidates must demonstrate a strong academic foundation, supported by relevant certifications or advanced training, where applicable. Proven expertise in [specific skills or industries] is required, along with the ability to apply theoretical knowledge to practical challenges. Prior leadership or mentorship experience is highly desirable, as is familiarity with industry-specific tools, methodologies, and regulatory standards. Strong analytical, problem-solving, and communication skills are critical to success in this role.
Earned a Bachelor’s degree in Actuarial Science, Statistics, or a closely related business discipline.
Holders of an Insurance Diploma from the Indonesian Insurance Institute (INK) or candidates currently pursuing this qualification are invited to apply.
Applications must be directed to the Group Human Resources Manager at Madison Group Limited by emailing hr_recruitment@madison.co.ke, with submissions required no later than Friday, 19th June 2026.
Qualifications
BA/BSc/HND , Diploma
Experience Required
1 year
