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Bancassurance Sales Officer
Job Ref. No: JHIL062
Role Purpose
- Responsible for the delivery of Health Insurance Bancassurance business performance through effective selling, excellent customer service and execution of operational Bancassurance services to the customers under the Bancassurance profile at the assigned bank or region.
Main Responsibilities
Operational
- Drive sustainable growth of the assigned portfolio to achieve the set business target.
- Effectively create new client relationships and partnerships whilst ensuring retention of existing business relationships through high standards of customer service.
- Execution of day-to-day Insurance operations at bank, branch/Regional level which entails Quotations, New customer acquisition as well as follow up on renewals.
- Identify training needs and liaise with head office to ensure training calendar is developed.
- Maintain accurate records and reports on all Insurance transactions.
- Maintain a consistent pipeline of Health Insurance Clients and prospects.
- Champion the delivery of consistent, seamless, and trusted customer service to ensure customer retention and loyalty.
- To assist bank staff in the said region/Branch to produce medical insurance businesses acceptable to Jubilee Health Insurance and ensure that such staff meet their individual quotas of new business and renewal production regularly.
- Ensure customer enquiries are resolved promptly as per laid down policies and procedures.
- Champion Insurance products training at the Branch /Regional by working closely with Branch management and bank bancassurance officers to sensitize customers on insurance products.
- Participate in Insurance Sales activation programs organized by Banks, Region, or Branch Management in conjunction with the Bancassurance Manager.
- Accompany bank staff to meetings with clients and Cross sell medical insurance.
- Ensure compliance to Jubilee Insurance and the allocated Bank’s policies, procedures, and regulatory requirements.
- Daily reporting of business performance as per Key Performance Indicators Matrixes.
- Any other duties and roles as may be assigned from time to time by the Bancassurance Manager.
Key Competencies
- Excellent communication and presentation skills.
- Excellent interpersonal, and negotiation skills with the ability to network and generate new business.
- Excellent Sales and Client relationship skills.
- Relationship Management skills
- Demonstrate sound knowledge of Bank products and an understanding of banking business and operations.
- Have high integrity levels; maintains utmost confidentiality of information in their possession.
- Great attention to details
Qualifications and relevant experience
- University degree from an institution recognized by Commission for Higher Education
- AIIK Diploma / BCOM (Insurance), BSC (Actuarial Science)/ CII Diploma or any insurance related qualification is an added advantage.
- At least 2 years’ experience in the Sales of health Insurance products preferably within an insurance intermediary or Insurance Company.
- Knowledge of Health Insurance will be an added advantage.
- Experience in Bancassurance will be an added advantage.
Deadline – 16th August 2023
Claims Assessor – Reconciliations and Payments
Job Ref. No: JHIL081
Role Purpose
- Evaluate and assess insurance claims, ensuring accurate reconciliation of claims data and timely payment processing. The job holder will be responsible for analyzing claim information, reconciling claims against policy provisions, verifying payment calculations, and facilitating the payment process. The role involves collaborating with various internal departments and external stakeholders to ensure efficient and accurate claims reconciliation and payment management.
Main Responsibilities
Operational
- Assess claims to ensure details are captured correctly. Member name, policy details, on the claim form match with invoice details. Invoiced amounts on invoices, letter of undertaking and other documents submitted are similar in the system.
- Review of declined and part paid claims.
- Hold meetings with service providers to discuss clinical issues in a view of aligning with industry practices.
- Confirm membership validity and benefits before processing claims.
- Review patients’ history and records to determine cause of disease or disorder and assess if treatment and prescription recommended correlates with the diagnosis.
- Confirm that treatment given is in adherence to provider panel rules of eligibility as well as customary and reasonable pricing.
- Provide training and guidance to team members on emerging issues around claims assessment.
- Identify fraudulent claims with an aim to reduce claims costs and enable prudent benefit management for members.
- Advise on any emerging fraudulent trends on providers during adjudication and any other improvements in processing of claims.
- Respond to service providers queries on any part payments and declined bills.
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Corporate Governance
- Ensure compliance with company policies, procedures, and regulatory guidelines.
- Maintain confidentiality and handle sensitive information in accordance with privacy laws and regulations.
- Adhere to ethical standards and maintain professional conduct while dealing with confidential or sensitive matters.
Leadership & Culture
- Engaging in ongoing professional development activities to enhance knowledge and skills in claims assessment, reconciliation, payment processing, regulatory compliance, and corporate governance.
- Foster effective working relationships with internal stakeholders, such as underwriting, claims, finance, and actuarial teams, to ensure alignment and collaboration in medical accounting activities.
- Foster a culture of accountability and responsibility within the claims function.
- Serve as a role model for exceptional customer service and professionalism.
- Change Management: Assist in driving change initiatives within the claims team and the broader organization. Help team members adapt to changes and foster a culture of agility and continuous improvement.
Key Competencies
- Analytical Thinking
- Attention to Detail
- Effective verbal and written communication
- Problem-Solving
- Customer Focus
- Compliance Knowledge
- Time Management
- Teamwork
Qualifications
- Bachelor’s degree in nursing
- Good understanding of the concepts of medical insurance
- Proficient in the use of Microsoft office suite and packages
- Proficient in the use of Actisure
Relevant Experience
- 3 years’ experience in claims assessment in the insurance industry
Deadline – 11th August 2023
Assistant Medical Accountant
Job Ref. No: JHIL088
Role Purpose
- To reconcile assigned medical providers and support the business on medical financial issues. The role involves working closely with the finance, claims, and underwriting teams to ensure the integrity of financial data, compliance with accounting standards, and effective financial management within the medical accounting function.
Main Responsibilities
Operational
- Monitoring of payments to medical service providers and confirmation of receipt of payments by providers.
- Reconciliation of service providers and period sign offs.
- Preparation of reports on a weekly, monthly basis.
- Analyzing and monitoring cost trends for medical providers on a continuous basis.
- Setting up systems within the department to ensure optimum productivity within the various business units.
- Preparing and sending statements and utility reports to members, brokers, or agents monthly or as when requested.
- Excess management and collection.
- TPA reconciliation and management.
- Following up for payment approvals.
- Answering to audit queries.
- Review of claims to ascertain quality of processing.
Corporate Governance
- Ensuring compliance with applicable accounting standards, financial regulations, and industry-specific guidelines in the management of medical accounting and financial reporting processes.
- Upholding the principles of financial integrity and transparency by maintaining accurate and reliable financial records, preparing timely and accurate financial reports, and ensuring the proper disclosure of financial information.
- Contributing to the establishment and maintenance of effective internal controls and risk management processes within the medical accounting function.
- Demonstrating ethical conduct and professionalism in carrying out financial responsibilities, including maintaining confidentiality of financial information, avoiding conflicts of interest, and acting with integrity and objectivity.
Culture
- Foster effective working relationships with internal stakeholders, such as underwriting, claims, finance, and actuarial teams, to ensure alignment and collaboration in medical accounting activities.
- Engaging in ongoing professional development activities to enhance knowledge and skills in claims assessment, reconciliation, payment processing, regulatory compliance, and corporate governance.
Key Competencies
- Financial Acumen
- Analytical Skills
- Meticulous attention to detail to ensure accuracy and completeness in financial reporting and analysis.
- Strong problem-solving skills to address financial discrepancies, anomalies, and control issues.
- Excellent communication and interpersonal skills to effectively collaborate with stakeholders and explain financial information.
- Compliance and Regulatory Knowledge
- Teamwork
- Technology Proficiency
Qualifications
- Bachelor’s degree in accounting, Finance, or a related field.
- Professional certification, such as Certified Public Accountant (CPA), is advantageous.
- Additional certifications or training in insurance accounting or healthcare finance are beneficial.
Relevant Experience
- 1 year underwriting exposure in insurance particularly medical and experience in reconciliation.
Deadline – 11th August 2023
Method of Application
If you are qualified and seeking an exciting new challenge, please apply via Recruitment@jubileekenya.com quoting the Job Reference Number and Position