Innovation Assistant (Maternity Reliever)
Job Purpose:
The job holder will provide effective and reliable support to the partnership and digital innovations team having a direct impact on the overall success of our digital partnership projects. He/she should be an outstanding communicator, can document business requirements, and perform data analysis.
Key responsibilities:
- Supports the partnership and digital Innovations team during the key phases of each partnership engagement e.g. business case development, product design discussions and partnership on-boarding.
- Maintains reports and project status dashboards.
- Supports the product team in the successful implementation of digital solutions by being involved in business requirements definition and documentation, testing, production deployment and post go live support.
- Analyze client feedback to make recommendations for continuous improvement and/or development of new functionality or features.
- Ability to manage key stakeholder and client relationships, internally and externally.
- Demonstrated experience in gathering and translating business, consumer, cultural, and social insights into actionable implications and strategies on digital platforms.
- A Self-starter who works well in a fast-paced, team-oriented environment who can devise the right course of action to achieve the objective.
- Delegated Authority: As per the approved Delegated Authority Matrix.
- Perform any other duties as may be assigned from time to time.
Knowledge, experience and qualifications required:
- University degree in Actuarial, IT or Commerce.
- 1-3 years’ experience in a similar role.
- Conversant with data analysis tools/ software.
- Expertise working as part of a dynamic, interactive Agile team.
- Strong written and verbal communication skills.
- Strong organizational skills with attention to detail.
- Experience communicating directly with clients and/or customers.
- Basic understanding in project management.
- A passion for innovation, design, and technology.
Unposting Date : 17-03-2023
Case Management Officer
Job Purpose:
Controlling and Managing policies through case management to ensure quality and cost effective care, client service, processing and payment of EMC claims.
Key responsibilities:
- Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).
- Interact with clients and service providers to ensure that the care is given within policy guidelines.
- Review medical reports and claims for compliance with set guidelines.
- Liaise with underwriters on scope of cover for the various schemes.
- Ensure that medical scheme members are attended to round the clock with support from 24-hour call centre.
- Poly-Pharmacy – discourage poly-pharmacy by diligent challenging of prescriptions and suggesting better alternatives.
- Generic substitution – Encourage use of generics where indicated as a method of reducing the organizations pharmaceutical expenditure.
- Review documents and pertinent requirements regarding claims from providers and clients.
- Ensure that the claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim.
- Management of relationships with clients, intermediaries and service providers.
- Verification and audit of outpatient and inpatient claims to ensure compliance and mitigate risk.
- Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.
- Respond to both internal and external claims inquiries concerning claims process, service providers, and the filing/completion of proper forms.
- Record all claims transactions.
- Prepare claims registers for claims meetings and update the various claims reports.
- Track and follow up on receipt of necessary documents.
- Delegated Authority: As per the approved Delegated Authority Matrix.
Knowledge, experience and qualifications required:
- Professional Nursing qualification KRCHN licensed by Nursing council of Kenya.
- At least one-year experience in case management and claims processing.
Technical/ Functional competencies:
- Knowledge of insurance regulatory requirements.
- Knowledge of insurance products.
- Sales and marketing management skills.
Leadership category responsibility framework (Core Competencies):
Emerging Leaders in Britam need to:
- Plan, direct and apply efficiencies and resources in order to optimize output and profitability against time, cost and team targets.
- Effectively communicate strategic and operational departmental goals and objectives to peers and others in order to ensure proper implementation.
- Ensure that department priorities are adhered to and effectively communicated.
- Ensure competent and effective people resources through appropriate coaching, development and people supervision as appropriate.
- Embody a high performance, proactive culture.
- Effectively ensure the adherence to key performance areas, deadlines and goals in order to optimize operational effectiveness.
- Effectively communicate resource needs, possible opportunities and achievements to management in order to aid them in their decision-making.
- Effectively set and monitor priorities and objectives for more junior staff.
- Understand and communicate objectives in relation to the larger organizational impact.
- Effectively disseminate knowledge within the correct context, towards subordinates as well as management.
- Appropriately model the company values while setting the pace and energy for delivering.
- Effectively manage and communicate change within the department in order to increase staff and process effectiveness.
- Provide access to accurate and consistent information and services across all channels.
- Ensure a seamless experience for clients.
- Improve service delivery for clients.
- Engage in continuous brand building to become the trusted partners to clients.
Unposting Date : 24-03-2023
Intermediary Service Channel Associate
Job Purpose:
Assist in underwriting and risk assessment within the set standards of service to ensure quality and timely service.
Key Responsibilities:
- Provide information and a premium service to Britam Intermediaries, on products and services while delivering high quality service.
- Raising service requests within the CRM for issues that can’t be resolved, and follow up/Escalate. Follow up to ensure the item is resolved.
- Updating Intermediary records in the systems database as per procedures.
- Initiate investigation through escalation of complaints not solved to the Intermediary Service Team Leader
- Review all applications for insurance – determine the profiles of risks presented to the company for insurance and assess their acceptability or otherwise.
- Confirmation and receipt of General insurance premiums.
- Prepare quotations as per authority matrix.
- Conduct Risk surveys for small risks as per authority matrix.
- Prepare & amp issue certificates and cover notes where necessary.
- Ensure timely preparation and dispatch of policy documents including valuation reports, debit & credit notes & endorsements and authorizing them within agreed and set authority limits.
- Implement credit control policy and ensure that premiums are debited and collected as required.
- Assess the loss ratios and ensure adherence to the underwriting guidelines at renewal.
- Process renewals and issue renewal quotations.
- Perform policy audits for Ordinary life policies when requested.
- Initiate processing of AMC and Pension business through scanning and indexing new business applications, top ups, withdrawals, rollovers and switches.
- Processing of claims & benefits under instructions of and in liaison with the Intermediary Service Team Leader.
- Drive use of self-service portals for both FAs and customers.
- Ensure business retention through conservations of policies and renewals of General business.
- Identification of FA learning gaps and addressing it with assistance from the sales training team.
- Sales Agents Portfolio Management.(Recommend this moves to commercial).
- Effecting Recruitment, Terminations and Reinstating.
- COP and Sales Agent facilitation loans accounts reconciliation.
- Management of Unit Manager recruitment and onboarding processes.
- Compiling of Sales Agent Data on Group Life and Last expense received from branch and communicating the same to Group life department.
- Management of Merchandise shop.
Knowledge, experience and qualifications required
- Bachelor’s degree (insurance option preferred).
- At least Three years experience in the insurance industry.
- Progress towards attaining professional qualification in Insurance (ACII, AIIK, FLMI).
- Experience in customer service.
Technical/ Functional competencies
- Knowledge of insurance concepts.
- Knowledge of underwriting processes and procedures.
- Technical competence in underwriting insurance risks.
- Knowledge of insurance regulatory requirements.
- Knowledge of Britam products.
Leadership category responsibility framework (Core Competencies)
Emerging Leaders in Britam need to:
- Plan, direct and apply efficiencies and resources in order to optimize output and profitability against time, cost and team targets.
- Effectively communicate strategic and operational departmental goals and objectives to peers and others in order to ensure proper implementation.
- Ensure that department priorities are adhered to and effectively communicated.
- Ensure competent and effective people resources through appropriate coaching, development and people supervision as appropriate.
- Embody a high performance, proactive culture.
- Effectively ensure the adherence to key performance areas, deadlines and goals in order to optimize operational effectiveness.
- Effectively communicate resource needs, possible opportunities and achievements to management in
- order to aid them in their decision-making.
- Effectively set and monitor priorities and objectives for more junior staff.
- Understand and communicate objectives in relation to the larger organizational impact.
- Effectively disseminate knowledge within the correct context, towards subordinates as well as management.
- Appropriately model the company values while setting the pace and energy for delivering.
- Effectively manage and communicate change within the department in order to increase staff and process effectiveness.
- Provide access to accurate and consistent information and services across all channels.
- Ensure a seamless experience for clients.
- Improve service delivery for clients.
- Engage in continuous brand building to become the trusted partners to clients.
Unposting Date : 24-03-2023
Emerging Consumers, Medical Claims Assistant
Job Purpose:
Controlling and Managing policies through case management to ensure quality and cost effective care., client service, processing and payment of EMC claims.
Key responsibilities:
- Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).
- Interact with clients and service providers to ensure that the care is given within policy guidelines.
- Review medical reports and claims for compliance with set guidelines.
- Liaise with underwriters on scope of cover for the various schemes.
- Ensure that medical scheme members are attended to round the clock with support from 24-hour call centre.
- Poly-Pharmacy – discourage poly-pharmacy by diligent challenging of prescriptions and suggesting better alternatives.
- Generic substitution – Encourage use of generics where indicated as a method of reducing the organizations pharmaceutical expenditure.
- Review documents and pertinent requirements regarding claims from providers and clients.
- Ensure that the claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim.
- Management of relationships with clients, intermediaries and service providers.
- Verification and audit of outpatient and inpatient claims to ensure compliance and mitigate risk.
- Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.
- Respond to both internal and external claims inquiries concerning claims process, service providers, and the filing/completion of proper forms.
- Record all claims transactions.
- Prepare claims registers for claims meetings and update the various claims reports.
- Track and follow up on receipt of necessary documents.
- Delegated Authority: As per the approved Delegated Authority Matrix.
Knowledge, experience and qualifications required:
- Professional Nursing qualification KRCHN licensed by Nursing council of Kenya.
- At least one-year experience in case management and claims processing.
Technical/ Functional competencies:
- Knowledge of insurance regulatory requirements.
- Knowledge of insurance products.
- Sales and marketing management skills.
Leadership category responsibility framework (Core Competencies):
Emerging Leaders in Britam need to:
- Plan, direct and apply efficiencies and resources in order to optimize output and profitability against time, cost and team targets.
- Effectively communicate strategic and operational departmental goals and objectives to peers and others in order to ensure proper implementation.
- Ensure that department priorities are adhered to and effectively communicated.
- Ensure competent and effective people resources through appropriate coaching, development and people supervision as appropriate.
- Embody a high performance, proactive culture.
- Effectively ensure the adherence to key performance areas, deadlines and goals in order to optimize operational effectiveness.
- Effectively communicate resource needs, possible opportunities and achievements to management in order to aid them in their decision-making.
- Effectively set and monitor priorities and objectives for more junior staff.
- Understand and communicate objectives in relation to the larger organizational impact.
- Effectively disseminate knowledge within the correct context, towards subordinates as well as management.
- Appropriately model the company values while setting the pace and energy for delivering.
- Effectively manage and communicate change within the department in order to increase staff and process effectiveness.
- Provide access to accurate and consistent information and services across all channels.
- Ensure a seamless experience for clients.
- Improve service delivery for clients.
- Engage in continuous brand building to become the trusted partners to clients.
Unposting Date : 24-03-2023
Fraud Detection Analyst
Job Purpose:
Fraud Detection Analyst is responsible for monitoring transactions, accounting paperwork, and operation activities with an aim to identify any fraudulent and suspicious activities within an organization.
Key responsibilities:
- Gather intelligence from relevant sources regarding the fraud trends in the industry and known fraudsters.
- Continuously scan transactions to establish whether the fraud trends discovered and the fraudsters have gain a foothold in Britam.
- Identify fraud patterns through the monitoring of high-risk transactions and review of exception reports.
- Maintain a black list data based on intelligence gathered from external sources and the investigations we have conducted.
- Compile known fraud red flags and research on more that would be applicable in the various areas of operations in Britam.
- Establish data sources required to test for indicators of fraud.
- Perform relevant analytical techniques required to detect occurrence of fraud and maintain a library of analytical tests.
- Recommend improvements in the data that is captured to aid in fraud prevention.
- Support forensic investigations into cases of suspected fraud through data analytics.
- Provide support to the Operational and Business units of the organization on fraud related matters.
- Regularly prepare reports and updates on the fraud landscape to the Board committee.
- Responsible for maintaining knowledge of fraud situation in the industry.
- Actively participate in team meetings; share information and make suggestions for improvements to fraud operations.
- Conduct fraud awareness campaigns for the group.
- Prepare and submit forensic reports on assignments taken.
- Updating fraud database and preparing monthly statistical reports.
- Delegated authority as per the approved delegated authority matrix.
Knowledge, experience and qualifications required:
- Bachelor’s degree in Mathematics, Economics, Computer Science, Information Management or Statistics or any relevant field.
- Certification in Data science or Data analytics tools such as Caseware IDEA, Alteryx, Qlik Sense.
- CPA (K) /CFA, CFE is an added advantage.
- Technical expertise regarding data models, database design development, data mining and segmentation techniques.
- Strong knowledge of and experience with reporting packages (Business Objects etc.), databases (SQL etc.), programming (XML, JavaScript, or ETL frameworks).
- 4-6 years proven working experience as a Data Analyst or Business Data Analyst.
Technical/ Functional competencies:
- Knowledge of audit procedures.
- Common Laws on fraud, corruption and bribery.
- Computer applications.
- Use of forensic tools.
- Report writing-ability to develop reports.
- Decision making – ability to make strategic decisions in a timely and effective manner.
- High moral and ethical standing.
- Highly motivated.
Leadership category responsibility framework (Core Competencies):
Team Leaders in Britam need to:
- Operationally lead a team to service customers from a sustainable and growing customer base whilst increasing profit.
- Ensure the company’s objectives are met by being a vision carrier and by implementing strategy and operational outputs.
- Effectively run the business and manage staff in order to enable functional leaders to focus on developing strategy.
- Effectively identify and define key performance areas, deadlines and goals for their team in order to optimize operational effectiveness.
- Ensure the department has the most appropriate people capability through effective inspirational leadership, people development, effective selection and optimized succession planning.
- Create a high performance, proactive culture and motivated team.
- Monitor operational implementation, budgets, plans, goals and outputs in order to ensure alignment with the departmental strategy.
- Ensure that department priorities are adhered to and effectively communicated.
- Effectively disseminate knowledge within the correct context, towards subordinates as well as management.
- Appropriately model the company values while setting the pace and energy for delivering.
- Benchmark operational activities internally as well as externally in order to be a leader in the industry.
- Effectively manage and communicate change within the department in order to increase staff and process effectiveness.
- Provide access to accurate and consistent information and services across all channels.
- Adequately manage operational risk.
Unposting Date : 24-03-2023
Fund Accounting Assistant
Job Purpose:
Undertake pension administration activities to support the achievement of business unit plan.
Key responsibilities:
- Carry out regular Pension account reconciliations and follow up on all unidentified funds in the Account.
- Ensure compliance of the pension schemes in line with both statutory and company policies.
- Ensure on boarding of new clients and sponsors within stipulated timelines and as per the company compliance requirements.
- Facilitate continuous data clean-up of clients’ personal information.
- Present audited scheme accounts during clients’ Board of Trustee meetings / AGM.
- Assist in the preparation of Deposit Administration monthly valuation data.
- Assist in preparation and filing of Scheme Financial Statements.
- Prepare and file income tax returns and RBA levies within the stipulated deadlines.
- Maintain and manage the integrity of all scheme transactions, documentary support and maintenance of scheme fund statements.
- File scheme Returns of Contributions and investment returns with the Retirement Benefits Authority within stipulated deadlines.
- Ensure contributions are booked into the system as and when they are remitted.
- Assist in the preparation of weekly revenue reports and monthly overall pension reports.
- Deliver good customer service by responding swiftly to queries and concerns from clients.
- Delegated Authority: As per the approved Delegated Authority Matrix.
Knowledge, experience and qualifications required:
- Bachelor’s Degree in a business related field.
- 2-4 years’ experience in similar position.
- Relevant professional qualifications e.g. CPA (K).
Technical/ Functional competencies:
- Knowledge of pension administration industry and concepts.
- Knowledge of Retirement Benefits Authority (RBAs) regulatory requirements.
Leadership category responsibility framework (Core Competencies):
Emerging Leaders in Britam need to:
- Plan, direct and apply efficiencies and resources in order to optimize output and profitability against time, cost and team targets.
- Effectively communicate strategic and operational departmental goals and objectives to peers and others in order to ensure proper implementation.
- Ensure that department priorities are adhered to and effectively communicated.
- Ensure competent and effective people resources through appropriate coaching, development and people supervision as appropriate.
- Embody a high performance, proactive culture.
- Effectively ensure the adherence to key performance areas, deadlines and goals in order to optimize operational effectiveness.
- Effectively communicate resource needs, possible opportunities and achievements to management in order to aid them in their decision-making.
- Effectively set and monitor priorities and objectives for more junior staff.
- Understand and communicate objectives in relation to the larger organizational impact.
- Effectively disseminate knowledge within the correct context, towards subordinates as well as management.
- Appropriately model the company values while setting the pace and energy for delivering.
- Effectively manage and communicate change within the department in order to increase staff and process effectiveness.
- Provide access to accurate and consistent information and services across all channels.
- Ensure a seamless experience for clients.
- Improve service delivery for clients.
- Engage in continuous brand building to become the trusted partners to clients.
Unposting Date : 24-03-2023
APPLY USING THE LINK (S) BELOW:
Use the link(s) below to apply on the company website.
- Innovation Assistant (Maternity Reliever)
- Case Management Officer
- Intermediary Service Channel Associate
- Emerging Consumers, Medical Claims Assistant
- Fraud Detection Analyst
- Fund Accounting Assistant
