Jobs at Old Mutual Kenya

Job Description

• Enforce underwriting controls including on-boarding, certificates, booking of business, and documentation.
• Implement underwriting guidelines, process, and procedure to ensure quality underwriting and business.
• Ensure profitability of the department through quality control and on-boarding
• Quality documentation timely turn around - TAT and
• Excellent customer service and retention support.

KEY RESPONSIBILITIES

• Enforce underwriting controls.
• Ensure compliance with underwriting guidelines and Standard Operating Procedures.
• Ensure clean and accurate data capture.
• Timely preparation of quotations and follow up.
• Debiting of premiums and processing of policy documents within set timelines.
• Processing and checking of underwriting Documents.
• Issuing & signing of Motor Certificates and Yellow cards.
• Review and dispatch of notices and documents.
• Ensure that work is done within the set standards of service and TAT.
• Prepare relevant reports for management and departmental consumption.
• Give quality customer service to all clients.
• Safe keeping of security documents.
• Daily scanning and indexing of mails.
• Initiating motor valuation and follow up.
• Adherence to the credit control policy.
• Follow up renewals and ensure maximum retention of profitable accounts.
• Timely processing refunds and follow up.
• 100% Adherence to the authority matrix.
• Ensure registry is fully maintained, orderly and up to date.
• Ensure compliance of AML and PEP guidelines
• Ensure cross sale and up sale opportunities are maximized.
• Perform any other duties as may be required by the management.

SKILLS AND COMPETENCIES

• Basic Underwriting skills and product knowledge
• Customer service skills
• Good Communication Skills
• Computer Literate

QUALIFICATIONS (Academic, Professional, Experience)

Qualifications:

• Degree preferably in insurance

Experience:

• 1 year and above  

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Job Description

To assess, price and determine terms for risks presented within set standards of service in a manner to ensure quality selection of risks and enforce underwriting controls, implement underwriting guidelines, processes, and procedures to ensure quality underwriting and business

PRINCIPAL ACCOUNTABILITIES.

• Determine acceptability of risks to ensure that risks onboarded are within the set underwriting guidelines and are covered under the reinsurance Programme.
• Providing technical advice/support to junior staff on rating and underwriting of complex risks to ensure safe profitable distribution of risk.
• Managing underwriting processes like business onboarding, completeness of onboarding documents, risk surveys and valuations, policy documents issuance, certificates management, cancellations, and refunds.
• Providing technical support and input on product development and business innovation initiatives to ensure continuous review of existing products to meet changing market needs.
• Review and approval of risk pricing and quote requests.
• Response to daily operational queries from customers to ensure smooth operation and efficient customer experience within the stipulated turnaround times.
• Auditing and monitoring compliance levels on various compliance issues such underwriting documentation, risk cessioning in the system and compliance with filled and reinsurance rates.
• Review and approval of policy schedules and documents to ensure accuracy, clarity, and correctness of the same.

KNOWLEDGE AND EXPERIENCE.

Qualifications:

• Degree in insurance, actuarial or business related.
• Professional qualification (CII or IIK) or good progress

Experience:

• Minimum 5 years’ experience 

SKILLS AND COMPETENCIES.

• Sound Technical Underwriting skills.
• Intensive and extensive product knowledge
• Good analytical skills
• Customer service skills
• Good Communication Skills
• Computer Literate with good knowledge of Excel

KEY RESULT AREAS & PERFORMANCE INDICATORS

• Preparation of quotations and follow-up
• Preparation of documents – policies, endorsements, certificates within standards of service
• Renewal notices and renewal terms including renewal follow-up.
• Review of performance of accounts to ensure overall performance is below 45%.
• Maintenance and accounting for accountable documents.
• Signing of documents within authority levels.
• Completion of reinsurance cards for large risks.
• Ensure the SOP standards are upheld in the department and report any issues of non-compliance.
• Ensure payment requisitions are processed immediately when presented.
• Ensure quotations, including those done by Assistant underwriters are competitive.

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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 non-scheduled 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