Assistant Manager – Medical Department at Clarkson Insurance Brokers Ltd
We are an Insurance Intermediary who wishes to recruit the following positions in our Medical Department.
Ref: AM/MD/14
The job purpose is to provide strategic leadership and hence
manage the medical business profitably and ensuring the desired loss ratio
level sustained
manage the medical business profitably and ensuring the desired loss ratio
level sustained
Key Performance Areas:
- Prepare and execute the department’s
annual budget - Ensure that proper risk analysis and acceptance is adopted in
underwriting of all the risk in the medical department - Ensure that claims
processing procedures are adhered to according to the service level benchmarks - Ensure
that declined claims are communicated to provider or the client within the
month of receipt and the declined invoices from the providers are reversed in
the statement - Ensure that benefit utilization reports are compiled and
communicated to the respective clients on monthly basis, scheduled exceeded
benefits reports and reclaims are communicated to the respective clients and/or
the broker within the month of incurring the expense - Compile and analyze
ailments reports and ensure quarterly review or health talk meetings are held
with various schemes depending on the performance - Compile and submit the
following reports: Claims status (Paid and outstanding), Commissioners, AKI,
and Monthly scheme performance. - Hold scheduled meetings with providers to
ensure issues touching on exclusions, credits and non-delivery of bills are
addressed. - Monitor claims trends per provider and take the necessary remedial
actions - Ensure service level agreements with service providers are in place and
their bank guarantees are set up or renewed - Ensure full premium is collected.
- Ensure 95% business retention of profitable accounts and load premium for poor
performing accounts. - Control management expenses incurred within medical
departments in line with the budget
Education and experience:
- Bachelor’s degree in any related
field with a bias in medical, 7 years’ work experience at a Managerial level in
a busy Medical department, with a reputable insurance company.
Competencies: Excellent presentation and training skills,
Excellent negotiation skills, Excellent communication skills, good analytical
and reporting skills, listening skills, computer skills and leadership skills.
Excellent negotiation skills, Excellent communication skills, good analytical
and reporting skills, listening skills, computer skills and leadership skills.
For considerations, email only a two page resume to
hr@clarkson.co.ke to be received no later than 15th December 2014.
hr@clarkson.co.ke to be received no later than 15th December 2014.
Only shortlisted candidates will be contacted.
Quote the reference number on the subject part of the email
