Vacancies at APA Life Assurance Company Ltd

KEY RESPONSIBILITIES

Agency Payroll, Commissions & Benefits

• Prepare, validate, and process monthly agency payroll, commissions, overrides, retainers, incentives, and approved benefits within established timelines.
• Process adjustments, reversals, clawbacks, advances, recoveries, and statutory or authorized deductions accurately.
• Maintain agent benefit, allowance, and entitlement records, including enrollment, claims administration, and exit benefit processes.
• Implement approved career path programs, sales force benefits, incentive schemes, and campaigns in line with company policies.

Data Management, Reconciliations & Controls

• Verify and maintain accurate agent master data, bank details, tax information, agency codes, and remuneration records.
• Reconcile remuneration, payroll, benefits, policy, and finance data across relevant systems, including the General Ledger.
• Investigate and resolve discrepancies, duplicate or missing payments, incorrect deductions, and outstanding account balances.
• Maintain complete audit trails and support internal and external audits, compliance reviews, and control improvement initiatives.

Agency Operations Support

• Track sales force account debits and credits, ensuring accurate recovery and clearance of advances and outstanding balances.
• Support coding of sales teams in accordance with company guidelines.
• Facilitate onboarding of sales teams and ensure provision of approved tools of trade.
• Coordinate sales management meetings, awards forums, and other agency support activities as assigned.
• Support learning and development initiatives for the sales force, including coordination of training programs and academies.

Reporting & Stakeholder Management

• Prepare monthly reports and analysis on commissions, payroll, incentives, benefits utilization, deductions, recoveries, variances, and outstanding issues.
• Track, report, and maintain records for sales force business acquisition activities, employer markets, and partnerships.
• Respond promptly to remuneration and benefits-related queries and provide statements where required.
• Collaborate with internal and external stakeholders to resolve operational, payroll, and benefits administration issues, escalating high-risk matters where necessary.

Compliance & Governance

• Ensure compliance with company policies, delegated authority limits, regulatory requirements, and applicable tax laws related to payroll and benefits administration.
• Safeguard confidentiality of payroll and remuneration information.
• Identify process improvement opportunities through reviews, audits, and data analytics.

ACADEMIC QUALIFICATIONS

• Bachelor's Degree in Accounting, Finance, Business Administration, Human Resources, Insurance, or a related field.

JOB SKILLS AND REQUIREMENTS

• Numerical accuracy and strong reconciliation skills.
• Analytical thinking and problem-solving capability.
• Knowledge of internal controls, compliance, and confidentiality standards.
• Advanced Excel and data analytics skills.
• Strong written and verbal communication skills.
• Stakeholder management and interpersonal skills.
• Planning, organization, and time management skills.
• Ability to manage multiple priorities and meet tight deadlines.
• Attention to detail and commitment to quality service delivery.

PROFESSIONAL QUALIFICATIONS

CPA, ACCA, CIFA, IIK, LOMA, HR, or Insurance qualification is an added advantage.

EXPERIENCE

• Minimum 3-5 years' relevant experience in payroll, commissions, agency operations, finance, benefits administration, or insurance operations.
• Working knowledge of payroll systems, ERP systems, insurance administration systems, agency management systems, and advanced Excel.

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KEY PRIMARY RESPONSIBILITIES

PRIMARY RESPONSIBILITIES:

• Reviewing and issuing pre-authorization;
• Handling the 24hour call center (cell phones /office lines) and responding to clients queries as they arise;
• Interacting with clients, brokers, clinicians, APA relationship officers and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy;
• Conducting hospital visits to assess patient’s care throughout continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship;
• Reporting adverse occurrences relating to clients’ management, policy with appropriate action to ensure compliance with quality patient care;
• Coordinating step down management and referrals for all clients with chronic diseases;
• Participating in health talks/wellness camps and service meetings;
• Participating in company CSR and brand building activities in liaison with other departments.

Academic Qualifications

• Bachelor’s degree in relevant degree

Skills and Attributes

• Leadership skills
• Interpersonal and Communication skills
• Analytical skills

Professional Qualifications

• Relevant professional qualification

Experience

• At least 4 years’ relevant experience

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KEY PRIMARY RESPONSIBILITIES

• Providing advice on making a claim and the processes involved
• Processing new insurance claims notifications
• Collecting accurate information and documents to proceed with a claim
• Analyzing a claim made by a policymaker
• Contacting service providers, a network of approved professionals and arranging for them to make repairs on the policyholder's property
• Monitoring the progress of a claim
• Investigating potentially fraudulent claims
• Identifying reasons why full payment may not be made
• Ensuring fair settlement of a valid claim
• Building relationships with loss adjusters, forensic accountants and solicitors, as well as other legal/claims professionals
• Ensuring the customer is treated fairly and that the customer receives excellent service in accordance with industry and company guidelines
• Handling any complaints associated with a claim
• Initiating legal recovery of monies paid out
• Maintaining good broker relations
• Keeping cost at a bare minimum
• Adhering to legal requirements, industry regulations and customer quality standards                     set by the company.
• Ensuring premiums are settled prior to claim processing.
• Liaising with the underwriting department for policy terms and endorsements.
• Advising on loss making/non performing brokers.
• Ensuring that all enquiries by clients and or stakeholders are responded to promptly and appropriately.
• Ensuring that discharge vouchers are dispatched and settled as per the guidelines.
• Ensuring that records in respect of claims processed are available and maintained correctly for effectiveness in responding to policyholders’ queries.
• Regular briefing to the departmental manager and making consultations.
• Entering claims data to the system
• Assisting and training new staff on work procedures and company policies to ensure effective client service
• Participating and contributing in meetings, discussions and consultations with other team members to ensure that all hindrances to job performance are addressed in good time.

ACADEMIC QUALIFICATIONS

• Bachelor’s degree in relevant field

SKILLS AND ATTRIBUTES

• Team Player
• Negotiation Skills
• Interpersonal Skills
• Interpersonal and Communication skills
• Integrity

PROFESSIONAL QUALIFICATIONS

• ACII/AIIK

KNOWLEDGE AND EXPERIENCE

• At least 4 years relevant experience in Insurance

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KEY PRIMARY RESPONSIBILITIES

• Reviewing reserves and closing of old outstanding claims 
• Processing new insurance claims notifications 
• Payment of Claims and service providers whilst ensuring compliance with IRA regulations.  
• Initiating legal recovery of monies paid out 
• Keeping cost at a bare minimum 
• Adhering to legal requirements, industry regulations and customer quality standards set by the company. 

Customer   service

• Ensuring that all enquiries by clients are responded to promptly and appropriately. 
• Ensuring that discharge vouchers are dispatched and settled promptly. 
• Ensuring that records in respect of claims processed are available and maintained correctly for effectiveness in responding to policyholders’ queries. 
• Regular briefing to the departmental manager and making consultations. 

Administrative   functions

• Participating and contributing to meetings, discussions and consultations with other team members to ensure that all hindrances to job performance are addressed in good time
• Entering claims data to the system 

ACADEMIC QUALIFICATIONS

• Bachelor’s degree in relevant field

JOB SKILLS AND REQUIREMENTS

• Interpersonal and administrative skills 
• Team player and Communication skills
• Integrity

PROFESSIONAL QUALIFICATIONS

• Diploma in Insurance will be an added advantage

EXPERIENCE

• 1-2 years’ experience 

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KEY PRIMARY RESPONSIBILITIES

• Keeping recovery records which include:
• Recovery register
• Discharge vouchers register
• Incoming cheques register both from advocates and in-house settlements
• Monitoring the Recovery register; this includes but is not limited to updating the same and ensuring that all matters appearing are recoverable, and not time-barred.
• Responding to demand letters to third parties and insurance firms.
• Drafting legal opinions on settlement proposals on matters in court, swapping, and pursuing the knock-for-knock settlements.
• Following up with witnesses to attend court when required.
• Sending reminders and follow-ups.
• Replying to third-party demands.
• Conducting negotiations, including organizing meetings with various parties.
• Appointing investigators.
• Appointing advocates.
• Following up on court documents.
• Attending court where necessary.
• Processing payments to insureds and advocates.
• Reviewing and closing files where cases have been concluded.

ACADEMIC QUALIFICATIONS

• A Bachelor’s Degree/diploma in Law or equivalent.

JOB SKILLS AND REQUIREMENTS

• Diploma In Legal Practice as an added advantage

PROFESSIONAL QUALIFICATIONS

• Diploma In Legal Practice as an added advantage

EXPERIENCE

• At least 3 years of relevant experience in the insurance industry with 2 years in recoveries.