Fresh Jobs at Old Mutual Kenya

Job Description

• Support the Fleet, Logistics and Stores administrator
• Flight bookings Local and International travel for directors, Staff, Executive and Expatriates – Sourcing of quotes, approvals, and fast-tracking issuance of LPOs
• Booking conferences and accommodation both local and international for directors, Staff, Executive and Expatriates - Sourcing of quotes, approvals, and fast-tracking issuance of LPOs
• Booking airport transfers and manual transfers for Staff, Executive, Directors, and Expatriates - Planning and coordinating all activities inbound logistics necessary to achieve desired levels of delivered services and quality at lowest possible cost. Ensuring that that staff seek further approvals before travelling locally and internationally (enforcement of the travel approval form)
• Assigning daily duties to drivers - Managing the execution, direction, and coordination of all transportation matters within the organization and ensuring vehicles are timely serviced, clean & insured.
• Store management - Monitoring stock purchase, storage and dispatching of goods to branches & Group offices.
• Ordering Drinking water for staff in tower and all branches - Ensuring that drinking water is delivered to all our branches and Group offices as per agreed schedules.
• Staff Tea at Tower - Ensuring that staff are served with quality tea at the right time and taking staff count daily to ensure payment is made as per consumption.
• Generating monthly reports for all Group Entities & branches - Taxi Reports (Little cab), Tea Reports for Tower, bottled drinking water report, company vehicles report, flights & accommodation trackers, monthly stock take.
• Processing of all admin invoices in the system for payment of vendors for services rendered – ensure all vendor payments are processed promptly as per SLAs.
• Raising cash advances for the business security team and expensing after payment is done.
• Manning LAN Support for Group Administration Team - generating weekly reports and reassigning workflow to persons responsible, closing workflows for resolved work and escalating any unattended requests that are beyond the SLA timelines.

Closing Date 

19th June 2023

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Job Description

• To control and manage medical benefit utilization through preauthorization and case management activities and ensure quality, appropriate cost effective care and good customer service

KEY TASKS AND RESPONSIBILITIES

• Pre-authorize scheduled and nonscheduled admissions within the set guidelines.
• Negotiate/discuss professional fees as appropriate for each admission.
• Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).
• Visit all admitted clients within Nairobi region and its environs
• Liaise with Doctors on the day to day management of patients and obtain medical reports/ expected length of stay where indicated.
•       Ensure smooth discharge process and co-ordinate any necessary post-  hospitalization/ step down facility care.
•        Revise reserves after discharge of member.
• Collect feedback from admitted clients on quality and scope of service by the service provider.
• Assist in carrying out verification and medical audit of claims/invoices before settlement.
• Develop and maintain monthly database on admissions, large claims and extended length of stay.  
• Respond to queries from clients, intermediaries and service providers.
• Liaise with other medical underwriter for purposes of market surveys and development of new controls, standards and products.
• Any other duty assigned by management.

SKILLS AND COMPETENCIES

• Excellent communication and negotiation skills.
• Excellent public relations and interpersonal relationship skills.
• Extensive networking with SP and other medical insurers.
• Excellent analytical and monitoring skills
• Good IT skills in database management and office systems.
• Good decision making in benefit utilization management.
•  High levels of integrity and honesty

QUALIFICATIONS, KNOWLEDGE & EXPERIENCE 

• Diploma or Degree in Nursing                      
• Diploma in Insurance/ COP
• Degree in Health systems Management/ Business management
• 3 years’ experience in clinical setting +2 years in insurance set up

Closing Date

23 June 2023

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KEY RESPONSIBILITIES

• Ensure risks accepted are within the set underwriting guidelines and are covered under the reinsurance Programme
• Assist in Providing technical advice to  staff on rating and underwriting of complex risks.
• Support management of underwriting processes like business on-boarding, documentation, risk surveys, valuations, policy issuance, certificates management, cancellations , refunds, review of underwriting manual.
• Support  product development and business innovation initiatives to ensure continuous review of existing products to meet changing market needs.
• Assist in product review,  risk pricing and quotes
• Response to daily operational queries to ensure smooth operation and efficient customer experience within the stipulated turn around times
• Assist in Reviewing of underwriting business processes, systems, and standard operating procedures to meet the changing business needs and emerging control environment risks
• Preparation and submission of monthly underwriting returns to IRA
• Preparation and update of all compliance, risks, events, indicators, and actions into the risk management system.
• Auditing and monitoring compliance levels on various compliance issues such underwriting guidelines , documentation, authority matrix, data completeness ,  risk cessioning in the system and compliance with filled and reinsurance rates.
• Enforce and ensure 100% compliance
• Review and approval of policy schedules and documents.
• Identify process and product training needs and organizing relevant trainings to fit such identified gaps
• Assist on coaching and mentoring  staff on underwriting guidelines, standard operating procedures, and technical product knowledge

SKILLS AND COMPETENCIES

• Sound Technical Underwriting skills
• Intensive and extensive product knowledge
• People Management and overall managerial   skills
• Good analytical skills
• Customer service skills
• Good Communication Skills
• Computer Literate with good knowledge of  Excel

QUALIFICATIONS (Academic, Professional, Experience) 

• Degree in insurance, actuarial or business related
• Professional qualification (CII or IIK) or good progress

Experience: 

• Minimum 5 years’ experience 

Closing Date

23 June 2023