Bancassurance Healthcare Administrator
The Position
Reporting to the Group Head of Bancassurance, the role holder will provide supervision of the Healthcare Insurance Department with oversight over the Medical Insurance and nursing teams in the unit.
Key Responsibilities
- Providing guidance and mentorship of the Medical Insurance team and ensuring they deliver as per their performance contracts
- Ensuring all utilization is captured on a timely basis and staff utilization reports are prepared and dispatched within timelines agreed with the HR Office(s)
- Ensuring prompt reconciliation of hospital accounts and timely settlement of hospital bills as per SLAs
- To ensure strict adherence to set guidelines on TAT on reimbursement Claims processing and settlement (Both Insured & Funded)
- Ensuring proper structuring, underwriting and placement of cover for new medical policies/Schemes
- Coordinating member education and handling of members’ enquiries on the medical scheme/medical conditions/ medical policy terms, conditions and scope
- Coordinating and ensuring implementation of health talks as per SLAs
- Liaising directly with relevant HR personnel on confidential medical matters relating to the staff members/dependents
- Coordinating confidential counseling to staff/ Scheme members
- Ensuring premium is collected or Medical accounts are funded as per the provisions of the Service Level Agreement
Position’s Requirements
- Diploma in Kenya Registered Community Health Nursing nursing/ clinical medicine/ pharmacy and/ or in any medical related background i.e. Pharmacy, medical laboratory or clinical medicine
- University degree or finalist in Business, Insurance or healthcare related degree
- At least 5 years’ hands on experience gained in a busy Medical insurance underwriting or operations department with Claims Vetting & Care management background and experience in leading a team
- Training in Basic and Advance Life Support will be an added advantage
- Responsible and reliable team player with strong interpersonal and persuasive skills
- Good planning and organization skills with the ability to deliver effectively under strict deadlines
- Articulate in Communication and has excellent Customer service skills
- Proficient in the use of Microsoft office software
- Accuracy and attention to detail
- Ability to work independently in an assertive manner and offer effective solutions
- Ability to develop working relationships with a wide range of internal and external partners
- Person of High Integrity
The above position is a demanding role which the bank will provide a competitive package for the successful candidate. If you believe you can clearly demonstrate your abilities to meet the criteria given above, please submit your application with a detailed CV, stating your current position, remuneration level, e-mail address and telephone contacts quoting the job title/reference in the subject field torecruitment@kcb.co.ke.
To be considered your application must be received by Dec. 13, 2013.
Only short listed candidates will be contacted.
JOB REF: CBOK 192013