GA Insurance Medical Division Officer Job vacancy in Mombasa Kenya september 2012
Job Title: Medical Division Officer – Mombasa Branch
Reporting to: Manager – Medical Division.
Job Summary:
Job Summary:
Coordinate and manage all: Business renewals, Marketing, Underwriting, Claims, undertaking and Customers service at Branch level.
Detailed Duties and Responsibilities
- Ensuring business renewals and follow ups.
- Processing business quotations
- Register new business – as per targets agreed on the departmental budget.
- Source from renewing clients and cross selling with General Insurance clients
- Cover write up to clients for review
- Policy documents issuing
- Proper client documentation on file.
- Minimize losses by ensuring thorough vetting of all claims before forwarding them for approval.
- Vetting of claims, checking on what is payable and not payable, either due to the nature of illness or mode of treatment or payment within the Kenya Medical Practitioners & Dentist Board guidelines.
- Go through pre-authorization forms and scrutinize forms especially for clear diagnosis management and nature of treatment. Requesting for further information/medical reports Liaise with doctors, brokers and clients at large for patient admissions
- Advise members on how best to utilize their benefits by recommending cheaper facilities and cheaper options e.g. maternity packages, chronic management facilities
- Advising doctors on referral of patients with chronic illness to cheaper facilities
- Capping/reviewing of undertaking through advise through letters to providers where and when necessary to avoid exceeded limits and hospitals/doctors taking advantages
- Sending undertakings to providers within the timelines
- Ensure all clients queries are responded to timely & professionally in line with GA procedure and policies
- Contact clients for conducting cover presentations and health talks Reconciliations
- Providers reconciliation and liaise with brokers on where member accessed service not authorized which needs to be paid to providers
- Sending invoices of exceeded limits to Brokers / Companies for payment
Knowledge, skills and Abilities
- Computer skills.
- Good communication Skills.
- Ability to make decisions and solve problems.
- Insurance knowledge in underwriting procedures.
Credentials and Experience
- University degree or equivalent.
- 3 years in a busy medical underwriting department.
- Insurance Professional qualification (ACII, AIIK).
Special Requirements
- Ability to meet strict deadlines and targets
- Ready and willing to work in Mombasa.
NB: Please indicate your notice period and current salary on your C.V.
If you meet the above minimum requirements, send your c.v to henry@gakenya.com indicate the position applied for on the email subject line so as to be received on or before 3rd October, 2012.
