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Head of Reinsurance & Technical Services
Overall Purpose of the Job
Reporting to the Principal Officer, the incumbent will be responsible for ensuring sound and disciplined Underwriting, Reinsurance, Key Account management and implementation of the set risk-based rating models within the business. Ensuring the efficient and accurate assessment of risks, and maintaining the company’s underwriting standards.
The incumbent is will also support in developing and implementing underwriting and reinsurance policies, and collaborating with other departments, including managing a team of underwriters, technical and reinsurance staff to achieve business objectives.
Key Responsibilities
Risk Assessment and Underwriting:
- Work closely with and support the Business Development teams in business acquisition to ensure acquisition of business and in compliance with risk based pricing as aligned to underwriting guidelines.
- Analyze risk factors and determine appropriate coverage terms, premiums, and conditions while implementing an evaluation of new and renewal businesses as per delegated underwriting authority.
- Focus on the growth of the profitable property insurance classes such as fire, engineering, marine and political violence and terrorism (PVT).
- Ensure adherence to underwriting guidelines and standards.
Reinsurance Management:
- Develop and implement reinsurance strategies to optimize risk management and capital efficiency. Oversee collection, clean-up and presentation of reinsurance data to reinsurers/reinsurance brokers to ensure the company continues to have in place a robust and optimal reinsurance program
- Manage reinsurance relationships and negotiate reinsurance treaties and facultative placements.
- Monitor and analyze reinsurance arrangements to ensure they are cost-effective and align with the company’s risk appetite
- Co-ordinate request to reinsurers on ‘special acceptances’, waivers and fronting across the region
- Review facultative placement partners and recommend changes based on their underwriting philosophy and pattern of reciprocity.
- Ensure adherence of all regulatory requirements with regards to our reinsurance arrangement.
Team Management:
- Lead, mentor, and manage a team of underwriters/reinsurance/technical officers to ensure productivity and high performance.
- Provide training and development opportunities to team members.
- Ensure appropriate staffing levels, effective performance management and motivation of staff.
Policy Development:
- Review and recommend changes in Underwriting and Reinsurance policies, procedures and guidelines/philosophy as necessary to align with industry best practices and regulatory requirements
- Ensure compliance with internal and external regulations.
Collaboration and Communication:
- Work closely with the sales, claims, and actuarial departments to support business development and risk management strategies.
- Communicate underwriting and reinsurance decisions and guidelines clearly to stakeholders.
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Data Analysis and Reporting:
- Monitor and analyze underwriting and reinsurance data to identify trends and opportunities for improvement.
- Oversee collection, clean-up and presentation of reinsurance data to reinsurers/reinsurance brokers to ensure the company continues to have in place a robust and optimal reinsurance program
- Prepare and present regular reports on underwriting and reinsurance performance to senior management.
Customer Service:
- Provide exceptional customer service by addressing inquiries and resolving issues related to underwriting and reinsurance decisions.
- Maintain positive relationships with brokers, agents, reinsurers, and clients.
Product Development and reviews;
- Participate/lead in the Product Reviews Committees/work-streams for both repackaged and new products
Education, Experience & Competencies
- Holder of a Bachelor’s degree in Business, Finance, Insurance, or a related field.
- Professional Certification in insurance (e.g., ACII, AIIK).
- Possess a minimum of 10 years of experience in underwriting and reinsurance, with at least 5 years in a managerial role.
- In-depth knowledge of insurance principles, underwriting processes, reinsurance markets, and regulatory requirements.
- Possess strong analytical and decision-making skills.
- Excellent communication, negotiation, and interpersonal skills.
- Proficiency in using underwriting and reinsurance tools and software and Microsoft Office Suite.
- Ability to work under pressure and meet tight deadlines.
- Demonstrate high level of integrity and attention to detail.
Care Manager
Overall Purpose of the Job
Reporting to the Supervisor Case Management, the Care Manager will ensure quality and efficiency in case management as well provide quality medical service delivery to all our clients.
Key Responsibilities
- Handling the emergency office lines and responding to clients queries as they arise on a 24/7 basis.
- Negotiate rates and treatment protocols with providers with a view to keeping claims below 60%.
- Implement all care management protocols and ensure that all procedures of the company are adhered to in adjudication resulting in accurate medical assessment, interpretation and intervention.
- Manage the workflow process from pre-authorization, case management and necessary system updates for claim processing.
- Implement and oversee the pre-existing & chronic disease management program, follow up of clients after discharge from hospital with a view of cost management for the company and the clients.
- Daily follow-up (Calling/Visits) of all hospitalized clients, to provide advice on coverage and care, manage end to end admission and discharge process of all clients.
- Prepare daily case management reports on admissions with detailed analysis for discussion and planning with action that favor the company as per the scheme rules and guidelines.
- Report on all admissions and issue relevant communication/letters for approved cases to all parties involved.
- Monitor cost of treatment at the various providers and advise underwriting department, and management on the most cost-effective providers to use.
- Communicate in a timely manner all rejections, deductions or declines to service providers and members with documentary evidence of the same.
- Clients presentations and member education on wise benefits utilization & risk management.
- Liaising with our underwriting section on scope of cover for various schemes.
Education, Experience & Competencies
- Holder of a Bachelor’s degree preferably in Nursing or Clinical Medicine.
- Possess at least 5 years relevant experience.
- Demonstrate a good understanding of case management.
- Proficient in the use of Microsoft office suite and packages.
- High level of Emotional Intelligence.
- Excellent Communication and Interpersonal skills.
- Customer focused with strong problem solving skills
- Professional Insurance Certification (COP or Diploma in Insurance) is an added advantage
- Good interpersonal skills and a team player
Why Join Us:
- A dynamic and supportive work environment.
- Opportunities for professional growth and career advancement.
- Competitive salary and benefits package.
- Being part of a leading insurance company committed to innovation and excellence.