Manager-Medical Claims Department at Kenindia Assurance Company Limited

We urgently seek to recruit a Manager in Medical Claims Department with at least 7 years of relevant experience in managerial position in the Insurance Industry.

Educational and Professional Qualifications

• Undergraduate degree in any business related field
• Diploma in Clinical services ( Nursing or Clinical medicine)
• AIIKor ACII will be an added advantage

Responsibilities

• Managing and implementing of the Medical Department strategy, policies, processes and procedures to support the achievement of the overall business objectives.
• Ensuring good customer service towards building stronger client relations through health talks, products education and holding frequent service meetings.
• Allocating responsibilities, distributing roles equitably and close monitoring of deliveries to the medical claims team.
• Co-coordinating and supervising claims processing to ensure quick settlement to providers and individuals within the agreed time around time (TAT).
• Care management and coordination of the same.
• Maintaining and keeping good records of medical documentations for future reference.
• Engaging service providers through service level agreements and providing them with updates through account reconciliation and better communication on declinature and liability towards provision of quality service.
• Educating and training our clients in our medical books on purchased product knowledge and having health talks to mitigate ailment rate.
• Preparing, monitoring and reporting of the medical department budgetary allocations towards less company expenditures.
• Talent management including coaching, mentoring, developing, motivating, training and evaluating staff in the medical department to achieve highest levels of performance.
• Leading and managing the medical department on basis of company ethics and culture to promote provision of quality financial services to both shareholders and stakeholders.
• Identifying, implementing and benchmarking best practices in management of the Medical Department to ensure high retention and growth rate of the medical portfolio.
• Ensuring super customer service to both internal and external clients by providing required prompt response to queries raised, complaints and compliments to achieve Company’s customer centric approach.
• Managing and Implementing change initiatives to achieve desired business plans and culture.
• Any other duties assigned.