Vacancies at Britam

Job Purpose: 

To effectively process medical claims by verifying and updating information about submitted claims and reviewing the work processes required to determine reimbursement. This includes verifying submitted claims, assessing reimbursement policies, performing reconciliation with claims estimates, and conducting payment negotiations and providing support on the process of medical claims. 

Key responsibilities 

• Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).
• Interact with clients and service providers to ensure that the care is given within policy guidelines. 
• Review medical reports and claims for compliance with set guidelines. 
• Liaise with underwriters on scope of cover for the various schemes. 
• Poly-Pharmacy – discourage polypharmacy by diligent challenging of prescriptions and suggesting better alternatives.
• Generic substitution – Encourage use of generics where indicated as a method of reducing the organizations pharmaceutical expenditure. 
• Delegated Authority:  As per the approved Delegated Authority Matrix.
• Prepare periodic reports for management on medical claims. 
• Ensure claims are processed within the stipulated time.  
• Perform any other duties as may be assigned from time to time.

Knowledge, experience and qualifications required 

• Diploma/Degree in Nursing or Diploma in clinical medicine or Diploma in Pharmacy. 
• Moderate understanding of insurance concepts 
• 2-4 years’ experience in claims management position in a busy insurance environment or an insurance company. 

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Job Purpose: 

To effectively process medical claims by verifying and updating information about submitted claims and reviewing the work processes required to determine reimbursement. This includes verifying submitted claims, assessing reimbursement policies, performing reconciliation with claims estimates, and conducting payment negotiations and providing support on the process of medical claims. 
Key responsibilities 

• Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).
• Interact with clients and service providers to ensure that the care is given within policy guidelines. 
• Review medical reports and claims for compliance with set guidelines. 
• Liaise with underwriters on scope of cover for the various schemes. 
• Poly-Pharmacy – discourage polypharmacy by diligent challenging of prescriptions and suggesting better alternatives. 
• Generic substitution – Encourage use of generics where indicated as a method of reducing the organizations pharmaceutical expenditure. 
• Delegated Authority:  As per the approved Delegated Authority Matrix.
• Prepare periodic reports for management on medical claims. 
• Ensure claims are processed within the stipulated time.  
• Perform any other duties as may be assigned from time to time.

Knowledge, experience and qualifications required 

• Diploma/Degree in Nursing or Diploma in clinical medicine or Diploma in Pharmacy. 
• Moderate understanding of insurance concepts 
• 2-4 years’ experience in claims management position in a busy insurance environment or an insurance company.

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Job Purpose:

• Growth of medical insurance business to meet set annual premium targets

Key responsibilities:

• Secure new business directly or through intermediaries in all the business channels.
• Maintain excellent customer service to intermediaries and clients.
• Service existing business.
• Follow up on renewals for medical insurance business.
• Forward proposal forms and all KYC documents to underwriting department.
• Ensure timely collections of premium as per the credit control policy.
• Prepare weekly reports as required by the BDM – Retail Health.
• Undertake initial underwriting in accordance with set guidelines to ensure sound acceptance of risk. 
• Respond to customer and client enquiries.
• Delegated Authority:  As per the approved Delegated Authority Matrix.
• Perform any other duties as may be assigned from time to time.

Knowledge, experience and qualifications required:

• Bachelors’ degree in Actuarial science or Business related field.
• Professional qualification in Insurance (ACII, IIK).
• 2-4 years’ relevant experience in the insurance industry.

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Job Purpose:    

• The role holder will be responsible to manage and drive top-line profitable growth in Sales to direct clients, Brokers and Independent Financial Agents in Asian markets by identifying and developing new business opportunities and building and maintaining client relationships.

Key responsibilities

• Secure new GI business through intermediaries. 
• Retain existing GI business as per set objectives.
• Maintain excellent customer service to intermediaries and clients. 
• Service existing business and resolve customer complaints. 
• Follow up on renewals for general insurance business.
• Forward proposal forms to underwriting department.
• Follow up premium collections for GI clients.
• Prepare weekly and daily reports as required.
• Undertake initial underwriting in accordance with set guidelines to ensure sound acceptance of risk. 
• Respond to customer and client enquiries.
• Follow up on commissions and claims issues emanating from intermediaries.
• Recruitment of intermediaries as per set objectives.
• Conversion of FA’s and IFA’S  in the market to ensure all are placing general insurance business.
• Continuous execution of initiatives and strategies per market to ensure meeting of set objectives and reviewing them where need be. 
• Training of intermediaries on general insurance products and submitting training schedules to supervisors. 
• Use authorized incentive scheme to bring in new business through training intermediaries on the same and marketing it. 
• Creating strategic partnerships with intermediaries for maximum business support. 
• Sharing of market intelligence with supervisor.
• Work closely with underwriter and branch manager and other lines of business to achieve set objectives
• Delegated Authority: As per the approved delegated authority matrix 

Knowledge, experience and qualifications required:

• Bachelors’ degree in a business-related field.
• Professional qualification in Insurance (DIP ACII, DIP IIK, ACII, IIK).
• 3-6 year’s relevant experience in the insurance industry.
• Hands on experience in handling Asian Markets preferred.