Clarkson Insurance Brokers Medical Department Manager Job in Kenya

Clarkson Insurance Brokers is an Insurance Intermediary who wishes to recruit the following position in our Medical Department.
 

Manager - Medical Department

Ref: MM/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

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.

How to Apply

For considerations, email only a two page resume to hr@clarkson.co.ke to be received no later than 18th June 2014.

Only shortlisted candidates will be contacted. 

Quote the reference number on the subject part of the email.