Jobs at Old Mutual Kenya

Job Description

• We are seeking an experienced Data Analyst to join our team in the financial services industry. The ideal candidate will have a strong analytical background and experience in working with large datasets to derive insights and support business decision-making.

Key Responsibilities

• Analyze large and complex data sets to derive actionable insights.
• Develop and maintain dashboards and reports using tools like Power BI or Tableau.
• Write and optimize SQL queries for data analysis.
• Use automation tools such as RPA and BPMN to streamline processes.
• Work with cloud platforms like AWS and Azure for data storage and analysis.
• Collaborate with cross-functional teams to support business objectives.
• Communicate findings and insights to stakeholders in a clear and concise manner

SKILLS AND COMPETENCIES

• Proficiency in Python, R, and SQL.
• Experience with data visualization tools such as Power BI or Tableau.
• Knowledge of automation tools like RPA and BPMN is an added advantage.
• Familiarity with data integration tools like Airflow and Stitch.
• Experience with cloud platforms such as AWS and Azure.
• Proficiency in Linux operating systems and Shell programming.

KNOWLEDGE & EXPERIENCE

• 4-5 years of experience as a Data Analyst in a financial institution.
• Strong skills in Microsoft Excel, including the ability to use advanced formulas and create complex spreadsheets.

QUALIFICATIONS

• Bachelor's degree in a related field (e.g., Mathematics, Statistics, Computer Science, or Finance).
• Strong interpersonal and communication skills.

Closing Date

• 08 November 2023

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Job Description

• To control and manage medical benefit utilization through preauthorization and case management activities and ensure quality, appropriate cost effective care and good customer service

KEY TASKS AND RESPONSIBILITIES

• Pre-authorize scheduled and nonscheduled admissions within the set guidelines.
• Negotiate/discuss professional fees as appropriate for each admission.
• Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).
• Visit all admitted clients within Nairobi region and its environs
• Liaise with Doctors on the day to day management of patients and obtain medical reports/ expected length of stay where indicated.
• Ensure smooth discharge process and co-ordinate any necessary post-hospitalization/ step down facility care.
• Revise reserves after discharge of member.
• Collect feedback from admitted clients on quality and scope of service by the service provider.
• Assist in carrying out verification and medical audit of claims/invoices before settlement.
• Develop and maintain monthly database on admissions, large claims and extended length of stay.  
• Respond to queries from clients, intermediaries and service providers.
• Liaise with other medical underwriter for purposes of market surveys and development of new controls, standards and products.
• Any other duty assigned by management.

SKILLS AND COMPETENCIES

• Excellent communication and negotiation skills.
• Excellent public relations and interpersonal relationship skills.
• Extensive networking with SP and other medical insurers.
• Excellent analytical and monitoring skills
• Good IT skills in database management and office systems.
• Good decision making in benefit utilization management.
•  High levels of integrity and honesty

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE

• Diploma or Degree in Nursing                      
• Diploma in Insurance/ COP
• Degree in Health systems Management/ Business management
• 3 years’ experience in clinical setting +2 years in insurance set up