Openings at Madison

Duties and Responsibilities

The Claims Analysts will vet and authorize claims to ensure treatment protocols and policy guidelines are followed for the respective products with the end result of business profitability and customer satisfaction.  They will do this as they also perform the following functions:

• Vetting all claims to ensure that they are within the scope of cover for the various schemes
• Generate outpatient claim analysis reports and make recommendations to management on areas of improvement as required.
• Ensuring that accurate data is captured into the system at all times.
• Respond to queries raised by service providers and customers within 24 hours.
• Facilitation of service provider reconciliations through the claims supervisor.
• Ensuring all claims returns are done within agreed timelines on a weekly basis.
• Preparing claims reports and any other report that may be assigned thereof.
• Ensure all claims for service providers are ready for payment within the set timelines for the specified providers.
• Monthly service provider reconciliations through the claims supervisor assigned within agreed timelines
• Enhancing good relationships with service providers through excellent customer service.

Qualifications, Experience and Competencies

Qualified candidates are required to possess the following qualifications, experience, and personal attributes:

• Bachelor of Science (Nursing) Degree or Diploma in Nursing
• 2 years’ experience in a large hospital or insurance company
• Knowledge of health insurance benefits
• Knowledge of medical treatment protocols
• People management skills of both external and internal partners
• Good communication skills
• Good problem-solving skills.

Applications should be addressed to the Group Human Resources Manager, Madison Group Limited, Email:hr_recruitment@madison.co.ke  so as to be received by Friday 11th February 2022.

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Qualifications and Experience

• A Bachelor’s degree in business management; preference will be given to MBA degree holders with specialization in marketing or strategic management.
• Professional qualification in marketing will be an added advantage.
• Considerable knowledge of the life assurance industry.
• Several years of experience in sales and marketing were gained preferably in the life assurance industry.
• Analytical capability, especially in the preparation of product and market strategies.

Key Responsibilities

Key responsibilities for the position are:

• Regular review and analysis of the ordinary life assurance market in Kenya.
• Review and report on Ordinary Life Business Unit strategy implementation.
• Market segmentation and product distribution structure.
• Pursuit of market development opportunities.
• Formulation of product and market development strategies.
• Participate and report on the process of Company strategy implementation.
• Building partnerships with businesses, institutions, and professional associations.
• Participate in the design and implementation of product promotion and advertising activities.

Qualified candidates are requested to forward their Cvs to the Human Resources Manager at:hr_recruitment@madison.co.ke on email not later than Friday 18th February 2022.