Medical Executive at Sedgwick Kenya Insurance Brokers

JOB DESCRIPTION

Reports to: ASSISTANT MANAGER, MEDICAL SERVICES

Section: MEDICAL DEPARTMENT 

Purpose of Position

To ensure development and efficiency running of the medical department

KEY RESULT AREAS

Underwriting

• Updating HAIS with member data, send same updates to underwriter and to the hospital where applicable.
• Follow up on underwriters’ payment and account reconciliations.
• Inviting renewals and facilitation of renewal of business 
• Verification of the received claims
• Data entry process
• Medical funds reporting
• Response to client queries via e-mail or phones
• Hospital account reconciliations
• Hospital visits

Other duties that may be assigned

• Provider management

JOB QUALIFICATIONS

• AIIK Diploma / CII Diploma or any insurance related qualification is an added advantage.
• Excellent communication and presentation skills.
• Have high integrity levels; maintains utmost confidentiality of information in their possession.
• Have great attention to detail