Clarkson Insurance Brokers Ltd: We are an Insurance Intermediary who wishes to recruit the following positions in our Medical Department.
Assistant Manager - 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
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.
For considerations, email only a two page resume to hr@clarkson.co.ke to be received no later than 15th December 2014.
Only shortlisted candidates will be contacted.
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