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Senior Claims Officer – Medical Department (FAK)
Job Summary
- To deliver claims related administrative support services through the execution of predefined objectives as per agreed standard operating procedures.
Job Description
Claims vetting and approval (90%)
- Receiving and registering incoming claims.
- Claims adjudication.
- Analysing all patients’ claims (In terms of completeness, validity, clinical) and processing them for payment.
- Examining and confirming member benefits, entitlements and exclusions.
- Preparing member statements (on request) for clients regarding their policy benefit utilisation status.
- Preparing payment remittances and credit notes where applicable.
- Liaising with providers on claims queries.
- Oversee daily operations in medical claim section.
Customer service, provider negotiations and reconciliation (10%)
- Handling customer queries (walk-in, phone & e-mail) regarding claims and payments.
- Assist in reconciliation and attending reconciliation meetings with the providers.
- Review of provider’s charges and negotiating for better rates and packages.
Academic & Professional Qualification
- Bachelor’s degree in pharmacy /Clinical Medicine /Nursing
- COP (certificate of proficiency in Insurance) & ACII will be an added advantage.
Relevant work experience.
- At least 4 – 5 years’ experience in a busy insurance related field.
- Strong analytical skills required.
Assistant Underwriter- Eldoret Branch (FAK)
Job Summary
To assist underwriting department to meet its obligation by providing clients with documentations like, certificates, endorsements, and policy documents. In addition, they will assist in serving clients by attending to their queries.
Job Description
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• Customer Relationship
• Debiting
• Issuing policy documents
• Issuing certificates
• Issue Renewal notices
• Cancellation process
Senior Business Support & Recoveries Manager
ob Description
SENIOR BUSINESS SUPPORT AND RECOVERIES MANAGER
Job Purpose
- Be member of the Absa Business Support & Recoveries Team with responsibility for the delivery of turnaround strategies to a portfolio of Business Bank segments but predominantly Small and Medium Corporate customers experiencing financial stress.
- Take responsibility for determining the objectives, strategies and actions that need to be adopted to address business-risk issues, reduce the Bank’s risk, and achieve long lasting turnaround solutions so that the customer can be returned to a Relationship Manager in the Business Banking Department.
Key Accountabilities.
Sales and Service – 20%
- Lead detailed negotiations with customers, sometimes in conjunction with Relationship Managers, regarding the agreement to, and implementation of strategy e.g. new lending propositions, terms and conditions of continuing Bank support etc.
- Manage relationships with customers in a manner which, through professional communication of often uncomfortable messages, increases customer satisfaction and enhances the Absa Brand.
- Identify sales opportunities, progressing these in partnership with Relationship Managers and Group companies where appropriate
- Ensure appropriate pricing is achieved
Business Management – 60%
- Actively manage customers, through customer visiting, to ensure business and banking risk issues are addressed in a timely manner
- Obtain customers’ commitment to implement appropriate strategies and actions to improve business and Bank risk
- Analyse / appraise lending propositions, customers’ plans / strategies and budgets & cash flow – sensitivity analysis.
- Liaise with group companies to ensure coherent management of customers, where there are mutual relationships
- Act as a reference point for Business Bank relationship and credit teams for discussions on specific cases or where more general input from a Business Support & Recoveries “specialist” is required.
- Develop network of contacts internally and also with local external professionals in order to maximise effectiveness in assisting customers.
- Promote the Business Support & Recoveries team to internal audiences (including relationship and credit teams and group companies) and professionals.
- Where appropriate, manage the use of professionals including accountants, turnaround managers, solicitors and property professionals, obtaining customer’s agreement to their use, preparing instructions and reviewing results.
- Ensure data integrity is maintained
- Develop strategies for portfolio management re: SME segment including possible sale of portfolio
- Impairment management including modelling recommendations that arise out of market practice and in line with Absa and regulatory guidelines.
Risk and Control objective – 20%
- Lead discussions with Relationship Managers to identify Bank risk, Business risk and critical issues for specific customers. Lead proactive formulation and implementation of strategies to improve Business and Bank risk.
- Monitor customers’ progress by appraising results revealed by their reporting packages, reviewing / quantifying business and Bank risk.
- Sanction, via CCRS, lending propositions, and strategies and actions to improve risk in the Business Support portfolio.
- Undertake regular raining (in person and online) to Relationship Teams and including through joint site visits.
Technical Skills & Competencies
- Good credit risk skills
- Good relationship management skills
- Strong analytical and numerical skills
- Strong communication and report writing skills
- Good knowledge of Microsoft Excel and other spreadsheet/database applications
- Strong planning, coordination and time management skills
- Proficiency in use of internal IT systems
Assistant Manager: Business Support & Corporate Recoveries
Job Description
Assistant Manager, Business Support and Corporate Recoveries
Job Purpose;
- The role holder will be a member of the Africa Absa Business Support and Corporate Recoveries Team with responsibility for the delivery of turnaround strategies to a portfolio of predominantly Mid Corporate customers experiencing financial stress as well as the delivery of recovery strategies to a portfolio of Corporate Customers experiencing financial distress
- He/she will take responsibility for determining the objectives, strategies and actions that need to be adopted to address business-risk issues, reduce the Bank’s risk, and achieve long lasting turnaround solutions so that the customer can be returned to a Relationship Manager in the Corporate/Business Banking Department
- The successful candidate will also be responsible for determining the objectives, strategies and actions that need to be adopted to address business-risk issues, reduce the Bank’s risk, and achieve managed exit/recovery solutions so that the bank realizes the maximum return in the shortest possible time.
- The successful candidate will also be responsible for a portfolio made up of the most involving and complicated corporate and business banking recovery accounts, a selection of which have the highest provisions raised on them, those with the highest exposures, and those which are politically sensitive.
Key Accountabilities.
Business Management 40%
- Lead discussions with Relationship Managers to identify Bank risk, Business risk and critical issues for specific customers. Lead proactive formulation and implementation of strategies to improve Business and Bank risk.
- Actively manage customers, through customer visiting, to ensure business and banking risk issues are addressed in a timely manner
- Obtain customers’ commitment to implement appropriate strategies and actions to improve business and Bank risk.
- Packages, reviewing / quantifying business and Bank risk.
- Analyze / appraise lending propositions, customers’ plans / strategies and budgets & cash flow – sensitivity analysis.
- there are mutual relationships
- Develop network of contacts internally and also with local external professionals in order to maximize effectiveness in assisting customers.
- Promote the Business Recovery team to internal audiences (including relationship and credit teams and group companies) and professionals.
- Where appropriate, manage the use of professionals including accountants, turnaround managers, solicitors and property professionals, obtaining customer’s agreement to their use, preparing instructions and reviewing results.
- Ensure data integrity is maintained
- Raise provision if required
Recoveries 30 %
- Lead detailed negotiations with customers, sometimes in conjunction with Relationship Managers, regarding the agreement to, and implementation of, strategy, e.g. Settlement proposals, etc.
- Lead proactive formulation and implementation of strategies on managed exits/recoveries.
Sales and Service 20%
- Lead detailed negotiations with customers, sometimes in conjunction with Relationship Managers, regarding the agreement to, and implementation of strategy e.g. new lending propositions, terms and conditions of continuing Bank support etc.
- Manage relationships with customers in a manner which, through professional communication of often uncomfortable messages, increases customer satisfaction and enhances Absa’s Brand.
- Identify sales opportunities, progressing these in partnership with Relationship
Sanctioning 10%
Responsible for the BS & R sanctioning as per the discretions held
Technical Competencies/skill
- Good credit risk skills
- Good relationship management skills
- Strong analytical and numerical skills
- Strong communication and report writing skills
- Good knowledge of Microsoft Excel and other spreadsheet/database applications
- Strong planning, coordination and time management skills.
Knowledge and Expertise
Preferred
- Experience of both corporate relationship management and credit risk analysis
- Experience of dealing with senior management of corporate entities
- Strong negotiation skills
- Detailed understanding of policies for provisions / NAD / write offs.
- Good knowledge of the local legal system, insolvency law and security issues, and the options available to the Bank.
Essential
- Good understanding of the role of Business Support and Corporate Recoveries in Africa
- Previous experience of relationship management of corporate customers
- Previous experience of credit risk analysis and/or sanctioning
- Experience of working under pressure and with very little supervision
Qualifications
Essential
- Sound banking experience
- Good knowledge of corporate finance and insolvency laws
Preferred
- Graduate and/or Professional Banking qualifications (e.g. ACIB,ATIOB)