Open Roles at ICEA Lion Group

Job Summary 

• The role of the Pension Support Assistant is to ensure proper and accurate deposit administration in order to maximise long-term revenue opportunities while strengthening client loyalty.  

ROLES AND RESPONSIBILITIES

• Contribution Management: Receive DA contributions; ensure timely booking, receipting, and allocation, tracing unidentified credits, tracking unpaid contributions.
• Data & Documentation Management: Maintain accurate, well-organized member records. Conduct continuous data clean-ups for legacy schemes while updating member and beneficiary information.
• Client Onboarding: Creating new members into the scheme in ILMS, Partner Portal, and self-service portal registration.
• Payments & Compliance: Process scheme fund expenses. Ensure 100% compliance for DA and Umbrella schemes by managing timely payment and filing of installment taxes, RBA levies, and withholding taxes.
• Occasional Duties
• Identifying gaps or new requirements in the systems.

ACADEMIC AND PROFESSIONAL QUALIFICATIONS AND KNOWLEDGE

• Bachelor Degree in any field from a reputable university. 

EXPERIENCE

• At least three month’s post qualification experience

CORE TECHNICAL COMPETENCIES REQUIRED FOR THE ROLE

• Strong communication and presentation skills
• Strong analytical and fact-based decision-making skills.
• Must be a self-starter, highly organized, and able to work well with people at all levels in the organization.
• Strategic thinking and problem-solving skills.
• Good customer relationship management skills (internal and external customers).

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Job Summary

• The Trusts Consultant is responsible for growing the business revenue by identifying profitable business opportunities and securing sound business deals.  The jobholder will also be responsible in development and support of the growth of business distribution structure to ensure that the company achieves its revenue acquisition and retention targets.

Key Responsibilities:

Strategy and Marketing Roles

•  Actively participating in the, implementation and execution of strategic marketing plans in support of the corporate strategy.
• Conduct market research to identify new business opportunities and reporting to management on market feedback and intelligence.  
• Develop and implement sales strategies, client service and retention plans, and analysing sales data to inform or update marketing strategies.
• Analyse marketing expenditure and sales revenue financial data and developing effective strategies to attain optimal business costs and sales revenue balance in order to attain company profitability objectives.
• Sales, Marketing and Distributions Channels Roles 
• Assist with drafting business plans, sales pitches, presentations, reference material, and other documents as required, and developing quotes and proposals for clients. Recruit, training, support and motivate business distribution channel partners - Agents (Independent / Internal), Brokers, Employers/Trustees, Scheme Administrators, Institutional aggregators.  
• Develop and sustain solid relationships with the business partners (Sponsors, trustees and administrator), distribution channel partners and clients to implement growth strategies.
• Attend and accurately provide competitive quotations to the sales partners (Agents and Brokers) and clients.
• Arrange meetings with potential clients on behalf of the sales channels to establish rapport, present company offerings and negotiate business deals

 Business Development Roles

• Analyze customer feedback data to determine whether customers are satisfied with company products and services.
• Provide insight into product development and competitive positioning by maintaining detailed knowledge of current market conditions.
• Collaborate with senior management to determine the most viable, cost-effective approach to pursue new business opportunities.  

Job Requirements:  

• Bachelor’s Degree in business management or administration, finance, accounting, marketing, social science, or related field from a reputable university.  Reasonable progress toward professional qualification(s) in Marketing, pensions, or equivalent, would be an added advantage
• At least four (3) years’ post qualification experience in the sale of financial services  

Competencies: 

• Excellent communication and presentation skills including the ability to develop proposals, concept papers, and position papers as well as write reports and prepare relevant publications.
• High level of interpersonal and cross-cultural skills, including the ability to build alliances and collaborative relationships with sensitivity to diversity. Must be a self-starter, highly organized, and able to work well with people at all levels in the organization.
• Exceptional negotiation, persuasion, and decision-making skills
• Confidence presenting to large groups of people.
• Strong business acumen/business orientation
• Good organizational and time-management skills.
• Positive attitude, self-motivated, self-driven, and able to work with minimal supervision.
• Trustworthiness and discretion when handling confidential information.
• Strong attention to detail, ability to multitask, and performance-oriented.   

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ROLE SUMMARY

• The Manager I, Reporting & Financial Controls will be responsible for maintaining a strong internal control environment across the Life Assurance business by implementing, monitoring and enforcing robust accounting and financial controls to safeguard Company assets and ensure financial accuracy. Working closely with key finance & business stakeholders, the role supports overall financial reporting and ensures the timely, complete, and accurate submission of key compliance and statutory returns.

KEY RESPONSIBILITIES

Internal controls

• Review and strengthen the financial controls framework across the Life business.
• Ensure timely and accurate ledger and sub-ledger reconciliations of premiums, claims, commissions, receivables, payables, reinsurance balances and intercompany accounts. Ensure that all reconciling items are investigated and adjusting entries posted.
• Lead the bank reconciliation effort for the Company and supervise the work of the bank reconciliation team, ensuring timely clearance of all reconciling items.
• Conduct periodic control assessments to identify potential control gaps, fraud risks, and operational inefficiencies
• Working together with the CFO, Head of Finance, and process owners, design practical and timely remediation plans for control deficiencies identified in audit findings. Track progress on resolution of matters raised by auditors and periodically update the leadership team.

Statutory Compliance

• Maintain and track the Company’s compliance schedule to ensure that all compliance obligations are met on a timely basis
• Ensure compliance with all applicable regulatory and statutory requirements including obligations to IRA, RBA, UFAA, PCF, and KRA
• Working closely with relevant departmental leads, ensure that all information required for compliance purposes is provided in a timely manner and handle/escalate instances of delay
• Support compliance with applicable tax laws including liaison with the tax team on matters such as corporation tax computations, withholding taxes, withholding VAT and any other taxes processed by the Finance Team.
• Keep abreast of all relevant laws, regulations, and industry standards and keep the Finance leadership team appraised on all regulatory change

Financial Reporting

• Working closely with the financial reporting team, support the preparation of accurate monthly, quarterly and annual financial reporting, including statements prepared under the IFRS 17 standard.
• Support monthly posting of general ledger journal entries into the financial system, and ensuring financial journals have been properly reviewed and approved.
• Where applicable prepare ad hoc reports and analysis on the financial statements and other areas of interest as maybe required by the Company
• Support the budget management process by reviewing LPOs and payment vouchers and ensuring that they are charged to the correct budget lines.
• Support the reporting team with the end of year audit process by preparing the required audit schedules and financial statements disclosures

ACADEMIC AND PROFESSIONAL QUALIFICATIONS & EXPERIENCE

• Bachelor’s degree in Finance, Accounting, Commerce or related field.
• CPA(K), ACCA or equivalent professional qualification.
• 7 to 10 years’ relevant experience, preferably within insurance or financial services sectors.
• Good understanding of Life Assurance accounting, IFRS 17 and insurance sector and other regulatory requirements.
• Strong financial controls, reconciliation, audit and risk management experience.
• Proficiency in financial systems, ERPs, and in the use of data analytics tools

KEY COMPETENCIES REQUIRED FOR THE ROLE

• Ability to work under pressure and deliver timely results
• Strong team working skills
• Strong analytical ability.
• Attention to detail.
• Risk and control mindset.

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Job Summary

• Reporting to the Manager II, Reporting, the Associate II, Reporting is responsible for all postings into the general ledger and supporting the preparation of periodic and annual financial statements. The role is also responsible for monthly departmental and branch reporting and analysis of company’s expenses per expense class, branch and department. The position is also responsible for the management of fixed assets, the review and approval of agent incentives and loans and contributes to the preparation of annual budgets.

ROLES AND RESPONSIBILITIES

Day-to-day operations and transaction processing

• Prepare and post journal entries into the General Ledger (GL) in accordance with the policies and procedures
• Process routine accounting entries generated by the policy administration system (ILMS) and the IFRS 17 calculation engine (Prophet).
• Execute day-to-day general ledger maintenance, ensuring proper dimensions set up and allocations.
• Assist the Reporting Manager in performing month-end and year-end financial closure, ensuring transaction cut-offs and postings adhere to agreed deadlines.
• Support payment approvals by reviewing posted payments, ensuring that all the payments are posted to the correct general ledger accounts and correcting all errors noted.
• Support the processing of tax obligations including the payment of VAT, corporate instalment tax, and any other tax obligations as may be required from time to time
• Responsible for all intercompany collections and ensuring that intercompany balances owed from related parties are collected in a timely basis.
• Responsible for reviewing and tracking of staff and FA loans and advances and ensuring prompt recovery as per the finance policy.
• Fixed assets accounting and management
• Manage the full lifecycle of company fixed assets, including recording additions, disposals, transfers, and monthly depreciation runs in the Fixed Asset Register (FAR) and posting these into the General Ledger.
• Coordinate and execute physical asset tagging across all branches, facilities, and head office departments.
• Plan, conduct, and reconcile periodic physical fixed asset verifications, investigating and resolving discrepancies between physical counts and register balances.
• Prepare comprehensive fixed asset movement audit schedules for internal and external auditors.
• Financial reporting & budgeting
• Assist the Reporting Manager in the production of monthly management accounts, analysing the reports ready for management presentation and analysis of the expenses per class per branch per month.
• Compile data required for budgetary planning, and assist the Reporting Manager in the preparation of the budget inputs and supporting budget variance reporting.
• Support the Reporting Manager in ensuring that subsidiary financial reports are prepared and translated into local currency in readiness for management presentation.

Other responsibilities

• Support the internal and external audit process.
• Evaluate and appraise loan applications submitted through the Agency channel, verifying borrower eligibility, documentation completeness, and adherence to established internal credit policies and risk thresholds prior to approval.
• Review and verify agency incentives and payments to ensure accuracy of such incentives and ensure that they reflect the achievement of agreed targets.
• Preparation of the annual financial statements for the ICEA LION Life Assurance Personal Retirement Scheme (PRS), ensuring that the reports are accurate, are in accordance with RBA guidelines.

ACADEMIC AND PROFESSIONAL QUALIFICATIONS AND KNOWLEDGE

• Bachelor of Commerce Accounting degree.
• CPA (K) or ACCA professional qualification.
• At least Five (5) years’ experience in a busy finance department, two (2) of which should be in a reporting role preferably in insurance or financial services.

CORE COMPETENCIES

• Ability to work under pressure and deliver timely results
• Strong team working skills
• An in-depth understanding of International Financial Reporting Standards. Experience with IFRS 17 standard will be an added advantage.
• Proficiency in financial systems, ERPs, and in the use of data analytics tools.
• Good communication skills
• Good customer relationship management skills (internal and external customers).
• Strong analytical ability.
• Attention to detail.
• Demonstrable problem-solving ability

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Role Overview

• The Medical Clinical Claims Analyst & Adjudicator will be responsible for the clinical vetting, medical necessity assessment, and end-to-end adjudication of inpatient and outpatient claims. The role ensures prompt, equitable, and accurate claim settlements in strict compliance with policy terms, medical benefit structures, standard clinical guidelines, and regulatory requirements. By combining clinical knowledge with insurance operations, the role holder will act as a frontline defender against fraud, waste, and abuse (FWA) while safeguarding client satisfaction and provider / TPA relations.

Key Responsibilities

Clinical Adjudication & Claims Assessment

• Review, audit, and adjudicate incoming outpatient, inpatient, maternity, dental, optical, and specialized medical claims against member policy covers, exclusions, and benefit limits.
• Validate clinical necessity, diagnostic appropriateness, ICD-10/11 coding, and procedural alignment (CPT codes) for billed treatments, diagnostics, surgeries, and pharmaceuticals.
• Appraise pre-authorization requests, elective admissions, and specialist referrals to ensure adherence to clinical pathways and pre-agreed fee schedules.
• Execute timely approvals, partial settlements, or claim repudiations with clear, clinically substantiated rationales communicated to providers and clients.

Cost Containment, Fraud Mitigation & Provider Audits

• Detect, investigate, and flag patterns of over-servicing, unbundling, up-coding, duplicated billing, and phantom claims across provider networks.
• Conduct continuous provider account reconciliations, billing audits, and contentious bill reviews.
• Negotiate discounted package pricing, fee concessions, and settlement terms with empanelled healthcare facilities for high-cost admissions or out-of-network claims.

Data Analytics & Reporting

• Track key operational metrics, including claim turnaround time (TAT), loss ratios, cost per event, and provider utilization trends.
• Extract and analyze claims data to identify emerging epidemiological patterns, high-cost claimants, and provider billing outliers.
• Prepare periodic technical claims reports for internal management, underwriting, actuarial teams, and statutory returns (such as IRA compliance schedules).

Provider & Stakeholder Relationship Management

• Act as a clinical liaison between ICEA LION General, panel healthcare providers (hospitals, clinics, pharmacies, diagnostic centers), brokers, and corporate scheme administrators.
• Facilitate swift dispute resolution on contentious claims, billing discrepancies, and policy interpretations.
• Provide clinical and policy feedback to underwriting teams to refine policy wordings, benefit limits, and risk underwriting guidelines.

Key Performance Indicators (KPIs)

• Turnaround Time (TAT): 95%+ of claims vetted and adjudicated within agreed internal and regulatory SLAs.
• Adjudication Accuracy: Claim leakage error rate maintained below established departmental thresholds.
• Cost Containment Savings: Demonstrated quantifiable savings through clinical intervention, tariff enforcement, and FWA prevention.
• Provider Reconciliation: Minimal aging of contentious provider / TPA reconciliations and disputed accounts.

Requirements for the role:

• Bachelor’s Degree or Diploma in Nursing (e.g., BScN, KRCHN), Clinical Medicine and Community Health, or Pharmacy.
• Active practicing license and valid registration with the relevant statutory body (e.g., Nursing Council of Kenya, Clinical Officers Council, or Pharmacy and Poisons Board).
• Certificate of Proficiency in Insurance (COP) or progress toward professional certifications like AIIK (Insurance Institute of Kenya) or ACII (Chartered Insurance Institute). (Added Advantage)
• Training or certification in standard medical coding: ICD-10 / ICD-11 (diagnostic) and CPT (procedural).  (Added Advantage)
• Minimum 5 years in a busy health insurance firm, Third Party Administrator (TPA), or hospital credit/billing department handling medical claims vetting, pre-authorizations, and care management.
• Demonstrated skill in identifying unbundling, up-coding, phantom billing, and unnecessary over-servicing.
• Hands-on experience auditing itemized hospital bills, negotiating procedure packages, and managing disputed claims with provider networks.
• Proficiency in core claims management information systems (CMIS) and advanced Microsoft Excel (pivot tables, lookup functions, data auditing) for monitoring loss ratios, costs per event, and provider utilization trends.