Insurance Broker Medical Officer Job Vacancy in Kenya September 2012
A leading insurance brokerage seeks to fill the following position;
1. Job Title : Medical Officer
2. Job Location : Nairobi
Main Duties And Responsibilities
New Business
2. Job Location : Nairobi
Main Duties And Responsibilities
New Business
- Obtain list of covered members
- Register Client on current system
- Prepare and dispatch Invoice to client
- Prepare SLA with client
- Prepare Know your client form
- Have client complete group proposal form where applicable and obtain policy document
- Organize Service Presentation/health talks
Renewals
- Request terms
- Obtain renewal terms, claims experience, negotiate terms, prepare renewal report & dispatch to client
- Send out renewal invitation and invoice to individual members
- No individual member should be renewed without payment
- Set up renewal meeting (involve medical mgr)
- Obtain renewal instructions from client and list from client in writing
- Reconcile and renew list on system
- Forward renewal list and new terms to underwriter
- Raise Debits and dispatch to client and underwriter and file
- Obtain premium from client (keep copy of cheque in the file)
- Update Know Your Client form and obtain endorsements for changes in policy terms where appropriate
- Filing
Client Liaison
- Acknowledge receipt of query
- Respond to client’s query/ requests (where query takes longer than 2 days advise and keep updating client until query is resolved)
- Update underwriters & membership of additions/ deletions
- Hold review meetings with clients (with review reports)
- Visit clients in hospital
- Organize service presentations
- Organize health talks
- Prepare benefit write ups for clients
- Filing
Claims
- To monitor all incoming claims and to ensure that they have a received stamp with the correct dates.
- To check claims supporting documents and to contact clients in case of missing documents to ensure complete documentation for onward submission to the Insurers.
- To photocopy all claims documentation for file records
- To check the completeness and accuracy of the claim forms and to assist clients as necessary
- To prepare dispatch letters for claims and to dispatch to the respective insurance companies.
- To maintain an up to date claims database for all clients reflecting all claims received, reimbursements made and indicating the dates the cheques are received.
- Following up with insurance companies to ensure that all claims are paid on time.
Key Result Areas / Accountabilities
- Clear understanding and adherence to AKI and Commissioner of Insurance regulations and guidelines.
- Accurate and up to date records of the business written
- Effective liaison with the appropriate staff in the Accounting Department to ensure collection of all monies due to the Company.
- Efficient and effective service to customers.
- Accurate and up to date underwriting and claims records and statistics.
- Up to date knowledge of new products / providers in the market
Knowledge and Skills
a) Education qualifications required
- KCSE qualification or higher
- Minimum of 3 papers towards CII Diploma in Insurance with preference to medical underwriting
b) Work experience required
- Minimum of 2 years in the insurance industry in medical insurance administration
- Working knowledge of Microsoft Office
- Good working Knowledge with multi-user / network computerized systems
Application Closing Date: 15 October 2012
If you are up to the challenge, posses the necessary qualification
and experience, please send your CV only indicating why you are the most
suitable candidate for the role clearly quoting the job title on the
email subject to infonsib@gmail.com.
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