Open Roles at Liberty Life

Job Summary

• The role holder will be responsible for driving the growth and profitability of the health insurance portfolio through bancassurance partnerships by implementing sales strategies, strengthening relationships with partner banks, ensuring quality business acquisition and delivering efficient customer service in line with company policies, underwriting guidelines and regulatory requirements.

Key Responsibilities

• Drive achievement of annual, quarterly and monthly health insurance premium targets through bancassurance channels.
• Identify, negotiate and close new business opportunities within partner bank customer segments in line with company underwriting and quality guidelines.
• Promote health insurance products through branch visits, activations, presentations and joint marketing initiatives with partner banks.
• Build and maintain strong relationships with bank branches, relationship managers and other stakeholders to enhance business growth and customer retention.
• Support bank staff through continuous product training, lead generation support, cross- selling initiatives and conversion of prospects into business.
• Prepare and provide accurate quotations and ensure timely processing, issuance, endorsements and renewals of policies.
• Facilitate onboarding of clients by ensuring complete documentation, accurate customer information and compliance with underwriting requirements.
• Liaise with underwriting, claims, operations, ICT and other internal departments to ensure efficient service delivery and customer satisfaction.
• Guide clients and bank staff on claims procedures, follow up on claims processing and resolve customer queries and complaints promptly.
• Monitor portfolio performance, customer preferences, market trends, retention levels and productivity to identify growth opportunities and improve service delivery.
• Ensure compliance with company policies, insurance regulations, KYC, AML, data protection, Treat Customers Fairly (TCF) and credit control requirements.
• Maintain proper documentation and ensure engagement only with properly licensed and compliant bancassurance partners.
• Prepare timely and accurate sales, portfolio and performance reports and provide recommendations for continuous improvement.
• Build and maintain strong knowledge of health insurance products, market developments and competitor activities to support business growth.
• Leverage synergies with other business units and group companies to maximize revenue opportunities.

Qualifications

• Bachelor’s degree in Marketing, Insurance, Economics, Actuarial Science or other business-related discipline
• Progress towards Diploma in Insurance (ACII or AIIK), (at least 3 papers or equivalent)

Experience

• At least two (2) years’ experience in the insurance industry
• Demonstrated success in insurance sales and business development

Competencies

• Customer, market and competitor understanding
• Knowledge of insurance industry and concepts
• Knowledge of insurance regulatory requirements
• Knowledge of medical underwriting processes, procedures and concepts
• Negotiation skills
• Business management skills
• Excellent analytical skills
• Excellent organizational and stakeholder management skills

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Job Summary

• The role holder will be responsible for ensuring that Heritage customers receive affordable, accessible, cost effective and high-quality healthcare services.

Key Responsibilities

• Maintain constant contact with hospitals to ensure continuous well-being of all the stakeholders and handling of medical claims with efficiency and accuracy
• Pre-authorise scheduled and non-scheduled admissions within the set guidelines
• Liaise with the hospitals and doctors for prompt discharge plan of the admitted members
• Assess and authenticate inpatient and outpatient medical claim documents
• Ensure smooth discharge process and co-ordinate any necessary post-hospitalisation care
• Pre-screening and vetting of inpatient, outpatient and reimbursements claims to ensure adherence to agreed tariffs and clinical protocols, with clearly documented notes in case of decline and any discount offered by the providers
• Conduct hospital visits and monitoring of inpatient bills
• Daily monitoring of interim bills and appropriate interventions for high quality of care
• Daily status reporting of the clinical status of the admitted members
• Contact centre management, pre-authorization approvals on payments and responding to member and provider enquiries
• Ensure timely notification to the stakeholder team of all the declined cases as per the policy guidelines
• Timely resolution of all the complaints raised by clients
• Responding to all clients and providers requests within 24 hours
• Ensure all counter guaranteed and roaming cases have official letters before approvals are done
• Authorization of maternity bookings and wellness letters are issued within 24hrs
• Monitoring client with chronic diseases by ensuring managed health care forms are completed by the doctors for proper follow up and management Health talks, wellness and check-ups management with providers and all stake holders
• Ensure inculcation of the TCF (Treating Customers Fairly) culture
• Embrace governance requirements with respect to KYC/AML/Data protection requirements per governing Acts

Qualifications

• Degree or Diploma in Medicine, Nursing, Clinical Officer or Pharmacy

Experience

• 1 years’ experience technical knowledge in medical insurance or hospital setting

Competencies

• Understanding of health insurance operations and concepts
• Knowledge of medical claims processes and procedures
• Stakeholder management
• Customer service

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Job Summary

• The role holder will be responsible for assisting in risk management through assessing the eligibility of applicants to obtain medical cover, scheme performance analysis, proposal of appropriate renewal terms and scheme administration for those already on medical cover within the set standards of service.

Key Responsibilities

• Keep detailed and accurate records of health business policies underwritten and decisions made (electronically and in physical files)
• Assist in underwriting health insurance risks
• Carry out scheme performance analysis and propose appropriate renewal terms
• Participate in preparation of quotations within set standards
• Prepare policy documents, endorsements debit and credit notes
• Dispatch policy documents, new business and renewal debits and endorsements within set time frames
• Assist in renewal of policies in the system within set time frame
• Attend to correspondence and client queries (both written and by phone) within set timelines
• Capture policy terms and conditions for reference
• Preparation and issuance of medical cards and member certificates within set time frames
• Attend to correspondence and client queries within set timelines
• Prepare reports as may be required from time to time
• Debt management at business entry point and renewal in line with the credit policy
• Implementation of policy suspension and policy cancellations
• Liaison with the other departmental and company functions to ensure smooth delivery of services to insured clients
• Implementation of TCF Provider liaison to ensure that all providers have updated scheme and membership records
• Reconciliation of Smart Applications and Orbit medical system records to ensure data consistency
• Embrace governance requirements with respect to KYC/AML/Data protection requirements per governing Acts

Qualifications

• Bachelor’s degree in Insurance or business-related discipline
• Progress towards Diploma in Insurance (ACII or AIIK), (at least 3 papers or equivalent)

Competencies

• Understanding of insurance operations and concepts
• Knowledge of insurance regulatory requirements
• Excellent organizational and stakeholder management skills

go to method of application »

Job Summary

• The role holder will be responsible for assisting in risk management through assessing the eligibility of applicants to obtain medical cover, scheme performance analysis, proposal of appropriate renewal terms and scheme administration for those already on medical cover within the set standards of service

Key Responsibilities

• Review, assess, authenticate and capture outpatient and inpatient claims as per the claims manual and within the set TATs
• Timely scanning, barcoding and batching of received claims
• Processing of reimbursements within the set TATs
• Conduct quality assurance process before batches are authorized for pay run
• Notify brokers and clients of pended and declined claims within set timelines
• Manage pended and declined claims
• Liaise with agents, brokers and service providers on matters arising on claims
• Ensure all claims documents are archived in the relevant systems
• Maintain claims production within set targets
• Generate daily health claims status report
• Storage of all correspondence in Medware system
• Monitoring and processing of NHIF enhanced benefits for cost containment
• Recording and monitoring of roaming and counter-guarantee claims.
• Customer service – address clients’ queries in form of telephone queries, letters, emails and walk –in clients.
• Maintain proper department standards, discipline and confidentiality regarding patients’ illness.
• Embrace governance requirements with respect to KYC/AML/Data protection requirements per governing Acts.

Qualifications

• Bachelor’s degree in Insurance or business-related discipline
• Progress towards Diploma in Insurance (ACII or AIIK), (at least 3 papers or equivalent)

Experience

• 1 years’ experience in medical claims management in insurance/hospital setting

Competencies

• Understanding of insurance operations and concepts
• Knowledge of insurance regulatory requirements
• Knowledge of claims procedures
• Excellent organizational and stakeholder management skills