Vacancies at Heritage Insurance

Insurance jobs, Economics jobs, Jobs in Kenya, Business related jobs,

Underwriting Analyst, Health Business

Job Summary

The role holder will be responsible for assisting in risk management through assessing the eligibility of applicants to obtain medical cover, scheme performance analysis, proposal of appropriate renewal terms and scheme administration for those already on medical cover within the set standards of service.

Key Responsibilities

• Maintain detailed and accurate records of health business policies underwritten and decisions made (electronically and in physical files).
•  Underwriting of health insurance risks.
•  Membership management for new and existing business.
•  Preparation and issuance of medical cards and member certificates within set time frames
•  Preparation and issuance of debits, and credit notes within set time frames
•  Preparation and issuance of policy documents.
•  Maintain policy terms and conditions for reference.
•  Implementation of policy suspension and policy cancellations
•  Carry out scheme performance analysis and propose appropriate renewal terms.
•  Renewal of policies in the system within set time frame.
•  Client relationship management. Maintain cordial relationships with clients and brokers through regular engagements and meetings.
•  Attend to correspondence and client queries (both written and by phone) within set timelines.
•  Liaison with the other departmental and company functions to ensure smooth delivery of services to insured clients.
•  Preparation and issuance of various reports as may be required from time to time.
•  Provider liaison to ensure that all providers have updated scheme and membership records.
• Reconciliation of Smart Applications and Orbit medical system records to ensure data accuracy and consistency.

Qualifications

•  Bachelor’s degree in insurance or business-related discipline
•  Progress towards Diploma in Insurance (ACII or AIIK), (at least 3 papers or equivalent)

Experience

•  2 years’ experience in the insurance industry

Competencies

•  Customer, market and competitor understanding.
•  Knowledge of insurance industry and concepts
•  Knowledge of insurance regulatory requirements
•  Knowledge of medical underwriting processes, procedures and concepts
•  Negotiation skills
•  Business management skills
•  Excellent analytical skills
•  Excellent organizational and stakeholder management skills

Claims Analyst

Job Summary

The role holder will be responsible for processing and payment of general insurance claims in accordance with the set standards and guidelines.

Key Responsibilities

•  Process claims accurately and in a timely fashion as per customer charter and agreed Service Level Agreements
•  Review documents and pertinent requirements regarding an insurance claim to establish liability.
•  Ensure that the insurance claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim.
•  Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim
•  Respond to both internal and external claims inquiries concerning benefits, claims process, service providers, and the filing/completion of proper forms.
•  Record all claims transactions in the system.
•  Track and follow up on receipt of necessary forms.
•  Capture and maintain accurate data to ensure data integrity.
•  Prepare weekly, monthly and quarterly reports and any other ad hoc reports as may be required by management.
•  Issue release letters
•  Issue authority letters for windscreen fitting and car hire.
•  Maintain a diary system for all active files.
•  Review files for continuing adequacy of reserves
•  Handle routine correspondences.
•  Maintain a high level of service to customers at all points of contact such as telephone calls, emails letters or personal visits.
•  Prompt attention to complaints
•  Appoint service providers such as assessors, investigators and loss adjusters Issuance of release letters upon completion of repairs and submission of documents.
•  Issuance of discharge vouchers
•  Proper adjustment of claims to avoid overpayment.
•  Cross check claims information with IMIDS data system for fraud detection
•  Investigate claims that appear to be suspicious.
•  Enforce SLAs with service providers.
•  Ensure policy excess is collected and apply depreciation where applicable.
• Settle payments via EFT to cut down on cheque processing costs.

Qualifications

• Bachelor’s degree in insurance, Economics or other business related discipline
• Progress towards Diploma in Insurance (ACII or AIIK), (at least 3 papers or equivalent)

Experience

•  2 years’ experience in claims management

Competencies

•  Understanding of insurance operations and concepts
•  Knowledge of insurance regulatory requirements
•  Knowledge of claims procedures
•  Excellent organizational and stakeholder management skills

Method of Application

If you meet the above requirements, you are encouraged to forward your application and updated CV to vacancies@heritage.co.ke by 31st January,2024. Clearly state the job title on the subject heading. Heritage is an equal opportunity employer and actively encourages diversity. Please note that only shortlisted candidates will be contacted.