KEY PRIMARY RESPONSIBILITIES


Oversee the administration of pension schemes, including new member enrollments, contribution processing, and benefit payments.
Ensure compliance with regulatory requirements and company policies related to pension administration.
Manage and maintain accurate records of all pension schemes and related transactions.
Provide training and guidance to junior... staff members within the department.
Assist in the preparation of monthly, quarterly, and annual reports for internal and external stakeholders.
Address and resolve customer inquiries and issues related to pension administration in a timely and professional manner.
Collaborate with other departments to ensure seamless service delivery and operational efficiency.
Participate in audits and implement recommendations to improve processes and controls.
Stay updated on industry trends, regulations, and best practices to ensure continuous improvement in pension administration.


Qualifications and Core Competencies


Bachelor’s degree in Finance, Business Administration, or a related field.
Professional qualifications in pension administration or insurance (e.g. FSRI, CPAM) are an added advantage.
Minimum of 10 years of experience in pension administration, with at least 5 years in a supervisory or management role.


GENERIC DUTIES


Participate in company CSR and brand building activities in liaison with other departments;
Implement interdepartmental SLA in liaison with other departmental heads; and 


ACADEMIC QUALIFICATIONS


Bachelor’s degree in Finance, Business Administration, or a related field.


JOB SKILLS AND REQUIREMENTS


Strong understanding of the regulatory framework governing retirement benefits in Kenya.
System updates and change management
Excellent analytical, organizational, and communication skills.
Proficiency in Microsoft Office Suite.
Attention to detail and high level of accuracy.
Strong problem-solving skills and ability to handle complex situations.
Excellent interpersonal skills and the ability to work effectively with diverse teams.
Commitment to continuous learning and professional development.
High level of integrity and ethical standards.


PROFESSIONAL QUALIFICATIONS


Professional qualifications in pension administration or insurance (e.g. FSRI, CPAM) are an added advantage.


EXPERIENCE


Minimum of 10 years of experience in pension administration, with at least 5 years in a supervisory or management role. more

KEY PRIMARY RESPONSIBILITIES


Generate a pipeline and acquire NSSF Tier II pension business
Liaise with Brokers, Independent Agents, Bancassurance, and APA agents to acquire an NSSF Tier II pension business
Identify and provide NSSF Tier II solutions to client needs.
Liaise with employers (HR and Finance) to set up retirement schemes.
Participate in marketing drives geared towards... pension acquisition and NSSF tier II opt-out business.
Liaise with Associations and other partners in order to acquire NSSF Tier II pension business.
Identify, organize, and train prospective employers on the need for pension and NSSF Tier II opt-out procedures.
Preparing weekly and monthly reports giving details of individual performance on business acquired


ACADEMIC QUALIFICATIONS


Bachelor’s degree in a relevant field


JOB SKILLS AND REQUIREMENTS


Team Player
Negotiation Skills 
Interpersonal Skills
Interpersonal and Communication skills


PROFESSIONAL QUALIFICATIONS


Any Relevant professional qualification will be an added advantage


EXPERIENCE


At least 2 year of relevant experience more

KEY PRIMARY RESPONSIBILITIES


Sourcing and procuring of business in line with the set targets/budgets;
Addressing client/customer enquiries and feedback within the timelines stipulated in service charter and/or SLAs signed with respective clients;
Reviewing performance of risks through loss ratio reports for both new and existing business;
Supporting in premium collection;
Preparing... weekly and monthly reports giving details of individual performance on business acquired/lost and feedback on market practices from customers;
Initiating and strengthening direct business relationships with existing and prospective clients to achieve performance targets;
Should be well versed and knowledgeable with the coastal insurance market
Should be well grounded in Life Insurance Products i.e. Group & Credit Life; Pensions and Annuity lines of business
Should have excellent interpersonal skills and the proven ability to work with coast based intermediaries including brokers; agents and bank agents with the aim of establishing and sustaining long term mutually beneficial business relationships


ACADEMIC QUALIFICATIONS


Bachelor’s degree in relevant field


JOB SKILLS AND REQUIREMENTS


Team Player
Negotiation Skills 
Interpersonal Skills
Interpersonal and  Communication skills


PROFESSIONAL QUALIFICATIONS


Progress in ACII/AIIK


EXPERIENCE


At least 2 years relevant experience preferably with the coastal insurance market more

KEY PRIMARY RESPONSIBILITIES


Legal claims handling, Processing & Reserving to ensure timely and fair handling of third-party claims review judgments and settlement proposals and making further recommendations and forwarding to management for further approval.
Legal Research & Advisory – Conduct legal research and provide expert opinions.
Manage legal Diary & Case Management – Track court... schedules and ensure timely witness attendance.
Monitoring of all suits filed against the insured’s and ensure adequate measures are maintained as per regulations;
Regular reviewing of reserves;
Ensure prompt settlements of judgements as per TATs to avoid proclamations and auctioneers; 
Monitoring of all suits filed against the insured’s and ensure adequate measures are maintained as per regulations.
Giving detailed and researched legal opinions on claims, litigation matters and those relating to the Company.
Managing claim costs through strategic Initiatives of the company to ensure profitability of the business
Insurance Recoveries – Drive subrogation efforts to recover losses from third parties.
Maintain legal registers, track decretal deposits, and update case status
Excess Collection & Compliance – Follow up on third-party property damage (TPPD) and injury excess collection.
Complying with statutory, regulatory and internal control processes at the business units including internal and external audit recommendations


ACADEMIC QUALIFICATIONS


Bachelor’s degree in Law or an equivalent.


JOB SKILLS AND REQUIREMENTS


Teamwork skills
Interpersonal and Communication skills
Analytical skills
Ability to work under pressure and meet deadlines


PROFESSIONAL QUALIFICATIONS


Diploma in Legal Practice


EXPERIENCE


At least 3 years’ relevant experience more

KEY PRIMARY RESPONSIBILITIES


Sourcing and procuring of business in line with the set targets/budgets;
Addressing client/customer inquiries and feedback within the timelines stipulated in the service charter and/or SLAs signed with respective clients;
Reviewing the performance of risks through loss ratio reports for both new and existing businesses;
Supporting the premium... collection;
Preparing weekly and monthly reports giving details of individual performance on business acquired/lost and feedback on market practices from customers;
Establish an efficient renewal process to achieve the set turnaround time for preparation and issuance of renewal notices for delivery of the desired retention rate;
Prepare Quotations.
Assess, manage, and rate all risks to ensure acceptance and retention of quality business.
Checking policy documents and endorsements in line with the Company’s underwriting manual
Identifying and referring risks that require reinsurance arrangements
Reconciling service provider statements and confirming the status to finance for payments;
Establish proper documentation of risks and timely issuance of certificates, debits, policy documents, and endorsements and communicate effectively to relevant parties on confirmation of the same.
Participating in company CSR and brand-building activities in liaison with other departments.
Deliver on Service Level Agreements.
Reconciliation of client accounts to reflect the business booked status on a monthly basis.


ACADEMIC QUALIFICATIONS


Bachelor’s degree in Actuarial Science, Bachelor of Commerce or  an equivalent


JOB SKILLS AND REQUIREMENTS


At least 4 years relevant experience
Strong understanding of underwriting principles, risk assessment, and insurance products


PROFESSIONAL QUALIFICATIONS


Progress in ACII/AIIK - Atleast 6 Papers


EXPERIENCE


Excellent communication, Presentation and negotiation skills.
Client-focused with a commitment to delivering exceptional service
Strategic thinking and business acumen
Analytical skills more

KEY PRIMARY RESPONSIBILITIES


Building and strengthening business relationships with existing and prospective clients to achieve performance targets;
Achieving branch service standards within set turnaround times;
Managing the business portfolio through prudent underwriting in order to achieve the targeted business mix and loss ratio;
Managing outstanding premiums as per the credit... control policy;
Managing the implementation of internal and external audit and risk recommendations within the agreed timelines; Exploring opportunities presented by the market and developing innovative products and solutions that meet customer needs; 
Complying with statutory, regulatory, and internal control processes at the business units including internal and external audit recommendations;
Entrenching performance-based culture among departmental staff in line with their set KPIs and departmental targets;
Participating in company CSR and brand-building activities in liaison with the Head Office;
Training, coaching, and mentoring staff/DSFs/Independent Agents in order to improve performance and cohesion within the department;
Implementing interdepartmental SLA in liaison with other departmental heads;
Participating in management meetings, projects, and committees as assigned.


ACADEMIC QUALIFICATIONS


Bachelor’s degree in Insurance or an equivalent.


JOB SKILLS AND REQUIREMENTS


Sales skills
Interpersonal and Communication skills
Customer Service Skills


PROFESSIONAL QUALIFICATIONS


ACII/AIIK


EXPERIENCE


At least 6 years of relevant experience more

KEY PRIMARY RESPONSIBILITIES

BI Solution Development


Design, develop, and maintain interactive dashboards, reports, and visualizations using BI tools (e.g., OBIEE, Power BI, Tableau, Looker, QlikView).
Develop and optimize data models to ensure efficient and accurate reporting.
Automate data extraction, transformation, and loading (ETL) processes.


Data Management &... Integration


Collaborate with database administrators to design and maintain data warehouses.
Develop and optimize SQL queries, stored procedures, and views to support reporting needs.
Integrate data from multiple sources, ensuring data integrity and accuracy.


Stakeholder Engagement & Requirements Gathering


Work closely with business users to gather reporting and analytics requirements.
Translate business needs into technical specifications and BI solutions.
Provide training and support to business users on BI tools and reports.


Performance Optimization & Troubleshooting


Monitor and improve BI solutions' performance and efficiency.
Troubleshoot and resolve issues related to BI tools, reports, and data quality.
Ensure data security and access control policies are enforced.


Continuous Improvement & Innovation


Research and implement best practices in BI development and analytics.
Stay updated with emerging BI trends and technologies to enhance reporting capabilities.
Participate in BI strategy development and process improvement initiatives.


ACADEMIC QUALIFICATIONS


Bachelor’s degree in Computer Science, Information Systems, Data Analytics, or a related field.


JOB SKILLS AND REQUIREMENTS


Ability to work with large datasets and complex reporting requirements.
Strong business acumen and ability to translate data into actionable insights.
Detail-oriented with a focus on data accuracy and integrity.
Ability to work independently and collaboratively within a team.
Excellent communication and stakeholder management skills.


PROFESSIONAL QUALIFICATIONS


Microsoft Certified: Data Analyst Associate (PL-300)
Oracle Database PL/SQL Developer Professional


EXPERIENCE


3+ years of experience in business intelligence, data analytics, or a related role.
Strong proficiency in BI tools such as OBIEE, Power BI, Tableau, or Looker.
Advanced knowledge of SQL and database technologies (e.g., Oracle, SQL Server, PostgreSQL, MySQL).
Experience in ETL development using tools like ODI, SSIS, Talend, or Informatica.
Familiarity with data warehousing concepts and best practices.
Knowledge of programming languages like Python or R.Strong problem-solving, analytical, and communication skills. more

KEY PRIMARY RESPONSIBILITIES


Develop marketing strategies and follow-up for strategy execution
Develop and maintain relationships with intermediaries
Sourcing and procuring of business in line with the set targets/budgets;
Addressing client/customer enquiries and feedback within the timelines stipulated in service charter and/or SLAs signed with respective clients;
Reviewing... performance of risks through loss ratio reports for both new and existing business;
Preparing weekly and monthly reports giving details of individual performance on business acquired/lost and feedback on market practices from customers;
Initiating and strengthening direct business relationships with existing and prospective clients to achieve performance targets;


ACADEMIC QUALIFICATIONS


Bachelor’s degree in relevant field


JOB SKILLS AND REQUIREMENTS


Team Player
Excellent communication and presentation skills
Negotiation Skills & Interpersonal skills


PROFESSIONAL QUALIFICATIONS


Progress in ACII/AIIK, LOMA


EXPERIENCE


At least 5 years’ relevant experience in the insurance industry
Proven record in achievement of sales targets for corporate life business.
Should be well grounded in Pensions Annuity & IDD lines of business
Should have experience in Group life and Credit Life sales
Proven track record in the pensions Industry
Should have established relationships with pensions oriented intermediaries including brokers; agents and bank agents with the aim of establishing and sustaining long term mutually beneficial business relationships more

KEY PRIMARY RESPONSIBILITIES

Risk


In conjunction with management, facilitating the identification and assessment of risks in line with the Group’s Enterprise Risk Management framework and updating outcomes in the risk registers.
Monitoring of risks and preparation of reports to management and other risk committees on various aspects of risk management 
Following-up proactively on... action plans put in place by management to address risk exposures and report on the same
Conducting risk analysis and quantification of financial risks through sensitivity analyses and stress testing for financial and insurance risks as well as major projects in the company. 
Implement the risk and compliance policies and procedures in place. 
Keep abreast with the applicable laws, regulations, rules and standards in the risk & compliance fraternity and advice on the emerging developments of the same. 
Scanning environmental risks and identifying new threats and opportunities that may impact on the business.
Creating awareness on risk management to facilitate embedding of a risk-conscious culture across the Company
Coordinate BCP in conjunction with the Group Head of Risk and Compliance and ensure the group’s business continuity risks are adequately mitigated


Compliance


Implement the annual compliance program incorporating legal, regulatory and internal policies & procedures for all the entities in the group 
Ensure that all applicable legislation are complied with by each company within the group through day to day monitoring and regular review of compliance to legislation, regulations and internal policies and controls. 
Maintain correspondence with all regulators on all regulatory and supervisory issues. 
Implement an ethics program and report on the status of compliance


Anti-Money Laundering 


Implement a robust Anti-Money Laundering and Counter Terrorist Financing Programme as well as on any new laws and regulation affecting the group as they emerge. 
Inform and advise Apollo Group, employees and third-parties of their obligations under the POCAMLA Act 
Monitor compliance with POCAMLA Act and Apollo Group Compliance and AML policies in relation to Money Laundering, including raising awareness of these policies amongst Apollo Group employees, ensuring relevant and continuous staff training, and auditing and reviewing Apollo Group systems and procedures
Act as the contact point with regulators and the Board on issues relating to Apollo Group’s AML/CFT Activities such as reporting suspicious transactions related to money laundering and the fight against terrorism financing
Provide advice to Apollo Group, where requested, regarding AML/CFT Compliance Risk Assessments and to monitor their performance


Other Responsibilities 


Provide training to Management and Staff at Apollo Group by organizing, designing and delivery of Risk and Compliance training programmes.


ACADEMIC QUALIFICATIONS


Bachelor’s degree in Finance/Business/IT/Risk Management or an equivalent


JOB SKILLS AND REQUIREMENTS


Proven exposure to Risk Management and excellent understanding of principles of risk management
An understanding of the Regulatory environment within a Financial Services and Insurance company. This includes AML laws and regulations
Proven exposure to Internal Control Systems 
Excellent report writing, presentation and communication skills
IT proficiency i.e. experience in analysis using statistical packages, MS Excel and other analytical tools 
Continuous Process Improvement understanding
Analytical thinking and Problem solving skills with attention to detail
Team Player and People skills
Understanding of Quality Management Systems will be an added Advantage


PROFESSIONAL QUALIFICATIONS


CPA (K), CISA, CIA or QMS Lead Auditor
Risk Management qualification 
Compliance qualifications
AML Certifications will be an added advantage 


EXPERIENCE


At least 2-4 years in a risk management environment within a large organization preferably in a financial services industry more

KEY PRIMARY RESPONSIBILITIES

Claim Documentation: Assist in the collection and verification of claim documents, ensuring that all required information is complete and accurate.
Confirmation of membership, validity, and benefits before processing claims.
Data Entry: Enter claim data into the company's claims management system, maintaining the integrity and confidentiality of sensitive... information.
Record Keeping: Maintain organized records of claims, correspondence, and documentation to ensure easy retrieval and audit compliance.
Claim Verification: Collaborate with claims assessors to verify claim details and support the investigation process.
Customer Service: Offer exceptional customer service by addressing claimant inquiries and concerns professionally and empathetically.
Compliance: Ensure compliance with industry regulations, company policies, and ethical standards in all claim-processing activities.

ACADEMIC QUALIFICATIONS

Diploma / Degree in any related field

JOB SKILLS AND REQUIREMENTS

Computer literate 
Decision-making, Planning, and organization skills
Good Communication and interpersonal skills
Good analytical skills and keen on details

PROFESSIONAL QUALIFICATIONS

Insurance certificate/diploma

EXPERIENCE

At least 1 year in health claims processing in a large busy organisation. more

KEY PRIMARY RESPONSIBILITIES

Business Acquisition

Drive the upscale of micro property and micro health business for APA Apollo Group as it pertains to SCBF-funded projects.
Develop new micro property and micro health businesses by leveraging strategic partnerships.
Creating partnerships to help in the distribution of the micro property and micro health solutions to grow the customer base... to meet the set targets for the specific projects.
Innovative business development initiatives to grow and scale micro property and micro health products.

Research & Innovation

Promotion and innovation of micro property and micro health business.
Conducting market intelligence to understand the market demand and designing solutions that can meet the client's market demands.
Collaborate with business teams to conduct member education and coordinate wellness clinics or programs.

Reporting

Track and record activity on accounts and assist in closing business opportunities to meet the set targets.
Preparing weekly and monthly reports, giving details of project performance on business acquired and feedback on market practices from customers.
Preparing monthly reports to SCBF providing updates on progress made.
Track the project milestones as per the set timelines.

Stakeholder Engagement

Ensure effective management with internal stakeholders within the group in the development of micro property and micro health solutions.
Engage and support in field activities to ensure consumer awareness as a key business driver.
Addressing inquiries and feedback from clients within the timelines stipulated in the service charter and/or SLAs signed with respective clients.
Monitor and evaluate the social impact of micro property and micro health solutions in alignment with Apollo Groups’ ESG agenda.

ACADEMIC QUALIFICATIONS
A minimum of undergraduate level education in Business/Marketing/Insurance/ Micro insurance /Entrepreneurship or any other related field.
JOB SKILLS AND REQUIREMENTS

Self-starter with a demonstrated ability to work independently and deliver results
Strong project management and report-writing skills
Track record of successful project implementation
A highly motivated person with excellent communication and analytical skills
Creative and innovative mindset
Good interpersonal and cross-cultural skills to work effectively with a diverse stakeholder group
Teamwork skills
Proven track record of scaling micro insurance programmes.

PROFESSIONAL QUALIFICATIONS

Any related qualification will be an added advantage

EXPERIENCE

At least 5 years of relevant experience in insurance or micro insurance including development of products, management, and sales/business development.
Experience of working with aggregators, MFIs, and CBOs will be an added advantage. more

KEY PRIMARY RESPONSIBILITIES

Claims handling 

Assess – Assess the claim’s validity.
Claims Bookings – Record all valid claims in the claims register and in Life Management System (LMS)
Acknowledge valid claims reported and request required claims documents. 
Assess claim documents, initiate claim payments, and assign claims tickets for approval. 
Approve claims as per approval of the... mandate.
Follow up on claims payments and transmission/inform customers of progress.
Review outstanding claims and follow up on outstanding documents. Review claims documents submitted and made claims recommendations.
Review suspicious claims and make recommendations for investigations.
Review investigation reports and make recommendations.
Adhere to IRA and company claims guidelines.

Compliance 

Prepare Compliance Reports for IRA, AKI, etc. 
Provide data and claims files to both Internal & External Auditors
Work with the Risk Manager and provide data and files.

Customer Services 

Handle claim complaints, register, and ensure resolution.
Handle appeals for declined claims, prepare file notes, or organize claim team meetings. 
Handle incoming calls, record and resolve client issues or escalate to the supervisor.
Attend to the walk-in clients and brokers. 
Client and Brokers engagements – Plan & Perform client and brokers visits.
Work with the customer service team when required.

Product & Processes

Capture LMS gaps and escalate to the ICT team for resolution.
Review process manual 
Design claims forms and documents for new products
Attend all process meetings and provide input to improve processes.
Attend all product meetings and provide input.
Participate fully in all quality processes improvement, including ISO. 
Prepare and submit reinsurance cessions for claims recoveries.
Provide reports on claims recoveries Train new staff on claim processes and procedures.
Train clients and Brokers on claims processes and procedures

ACADEMIC QUALIFICATIONS

Business Related Degree preferably in Insurance/Actuarial Science.

JOB SKILLS AND REQUIREMENTS

Communication and Interpersonal skills
Time management skills
Team player
Analytical skills
Problem-solving skills Negotiation
Leadership skills

PROFESSIONAL QUALIFICATIONS

Diploma in Insurance, AIIK/ACII

EXPERIENCE

At least 5 years of relevant experience more

This position is responsible for sourcing and procuring new pension business, developing proposals and quotations in line with company guidelines and policies with the aim of growing the pension business and maintaining customer relationships.
KEY PRIMARY RESPONSIBILITIES

Generate a pipeline and acquire NSSF Tier II pension business
Liaise with Brokers, Independent Agents, Bancassurance, and... APA agents to acquire an NSSF Tier II pension business
Identify and provide NSSF Tier II solutions to client needs.
Liaise with employers (HR and Finance) to set up retirement schemes.
Participate in marketing drives geared towards pension acquisition and NSSF tier II opt-out business.
Liaise with Associations and other partners in order to acquire NSSF Tier II pension business.
Identify, organize, and train prospective employers on the need for pension and NSSF Tier II opt-out procedures.
Preparing weekly and monthly reports giving details of individual performance on business acquired

ACADEMIC QUALIFICATIONS

Bachelor’s degree in a relevant field

JOB SKILLS AND REQUIREMENTS

Team Player
Negotiation Skills 
Interpersonal Skills
Interpersonal and Communication skills

PROFESSIONAL QUALIFICATIONS

Any Relevant professional qualification will be an added advantage

EXPERIENCE

At least 1 year of relevant experience 

Deadline: 02-May-2023 more

This position is responsible for managing the client’s benefits as per the policy and responding to clients queries through email/telephone.
KEY PRIMARY RESPONSIBILITIES

Reviewing and issuing pre-authorization.
Handling the 24-hour call center (cell phones /office lines) and responding to clients’ queries as they arise.
Interacting with clients, brokers, clinicians, APA relationship... officers, and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy.
Conducting hospital visits to assess patient’s care throughout the continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship.
Reporting adverse occurrences relating to clients’ management, and policy with appropriate action to ensure compliance with quality patient care.
Coordinating step-down management and referrals for all clients with chronic diseases
Participating in health talks/wellness camps and service meetings
Participating in company CSR and brand-building activities in liaison with other departments.

ACADEMIC QUALIFICATIONS

Bachelor’s degree/Diploma in relevant field

JOB SKILLS AND REQUIREMENTS

Team player with strong interpersonal and persuasive skills 
Good Communication and interpersonal skills
Good analytical skills and keenness to details
Excellent Negotiation skills
Effective decision maker

PROFESSIONAL QUALIFICATIONS

Any Relevant professional qualification

EXPERIENCE

At least 4 years of relevant experience 

Deadline: 06-May-2023 more

Job description
To contribute across the technology stack, covering the end-to-end development of APIs, web and native applications, technical support as well as improvements to DevOps tooling
KEY PRIMARY RESPONSIBILITIES

Design and implement high performance cloud native APIs
Develop mobile and web front end applications for large scale usage
Triage, diagnose and troubleshoot production... incidents and come up with long term solutions
Use Agile engineering practices and various software development technologies to rapidly develop creative and efficient solutions that enhance the organization’s technology stack
Plan, develop and implement large-scale projects from conception to completion.
Provide innovative solutions to complex business problems.
Collaborate with other team members to implement user stories, write tests, and continuously deliver new/improved product functionality

ACADEMIC QUALIFICATIONS

Bachelor’s Degree in Information Technology / Computer Science or equivalent work experience
Master’s Degree in Computer Science / Engineering / Information Technology will be an added advantage

JOB SKILLS AND REQUIREMENTS

Extensive experience in software development for more than 5 years.
Experience in commercial/ production class API development for at least 5 years.
Have extensive experience in troubleshooting APIs and applications, crash analytics, remote debugging, and continuous integration.
Excellent experience with Git and Git Workflow
Experience with iOS and Flutter will be an added advantage
Experience with cloud platforms (AWS/ GCP/ Azure) is an added advantage
Expert in Java/Kotlin, Android SDK, and mobile development technologies
Expert in API design and development using Spring Boot
Expert in building a working world-class app from scratch
Expert experience with reactive and asynchronous programming using coroutines
Expert in quality assurance processes / CI-CD, Unit and integration testing
Have a track record in optimizing apps for device, CPU, data and memory usage
Understands android application architecture, design and development
In-depth experience with application and user interface design and development
Expert knowledge of the MVM/ MVVM architecture, Android architecture components
Expert understanding of Agile Software Development frameworks

PROFESSIONAL QUALIFICATIONS

Any related qualification will be an added advantage

EXPERIENCE

Full-stack engineer with a passion for mentoring other colleagues in the team
Real passion for development and a demonstrated appetite for continual learning
Appreciation for pair programming
Team player who is positive, proactive, and a motivated self-starter
Great communication skills
Excellent written and verbal communication skills
Knowledge and experience with build and release management
Strong analytical and problem-solving skills
Excellent Planning and Organization more

We are looking for a dynamic incident manager to join our Digital Factory. In this role, you'll be in charge of leading the incident management process to resolution and restoring our Digital services swiftly. You will also log and categorise recurring incidents to improve incident management protocols. To be a successful incident manager, you should have an aptitude for picking up new... technologies and procedures. Ultimately, an outstanding incident manager should excel at multitasking and remain judicious during incidents.
KEY PRIMARY RESPONSIBILITIES

Overseeing the incident management process and team members involved in resolving the incident
Collaborating with the incident management team, internal departments and/ or vendors to ensure that all protocols are diligently followed
Managing the incident team members by re-assigning workloads and re-scheduling non-urgent tasks
Responding to a reported service incident, identifying the root cause, and initiating the incident management process
Logging all incidents and their resolution to see if there are recurring incidents
Prioritising incidents according to their urgency, impact on the business and disruption to users
Follow a prioritisation process that is transparent and understandable for all parties involved
Developing and maintaining adherence to incident management protocols
Promote and drive the continuous improvement in incident management process to ensure its effectiveness
Communicating with Head of Digital if major issues occur and on any reoccurring incidents.

ACADEMIC QUALIFICATIONS

Bachelor's degree in information technology, engineering, or a related field

JOB SKILLS AND REQUIREMENTS

Excellent managerial skills and ability to collaborate with team members
Excellent influencing skills and the ability to liaise with multiple stakeholders at all levels, both internally and externally
Proven ability to drive change and constant improvement.
Strong problem-solving, analytical, and time-management skills

PROFESSIONAL QUALIFICATIONS
Any of the following qualifications will be an added advantage:

Information Technology System Management (ITSM)
CREST Certified Incident Manager (CCIM)
Major Incident Manager (MIM)
ITIL Master in IT Service Management (ITIL M)
ITIL 4 Managing Professional (ITIL MP)

EXPERIENCE

At least 3 years’ experience working in IT service management or a similar role
Strong knowledge of IT Service Management methodology. A proven history of deploying those practices to ensure successful execution against technology initiatives
Proven experience in the Incident Management process, excellent understanding of the ITIL methodology
Knowledge of the Agile software development process
Knowledge and/ or experience with widely successful Agile techniques: User Stories, TDD, Continuous Integration, Continuous Testing, Paired Programming, Automated Testing, Agile Games more

Job description
To ensure prompt and fair settlement of all medical claims in accordance with the claims manual and guidelines in order to control claims expenditure and also maintain a good working relationship with service providers
KEY PRIMARY RESPONSIBILITIES

Vetting and analyzing medical claims as per the scope of cover whilst ensuring strict adherence to set guidelines and... TAT 
Monitors service providers’ claims through analytics in view of ensuring they maintain high standards of service delivery 
Reconciliation of medical providers’ bills & accounts on an ongoing basis or on-demand including visits to providers to sort out contentious bills/ issues 

ACADEMIC QUALIFICATIONS

Diploma in Kenya Registered Community Health Nursing/ Clinical medicine/ pharmacy and/ or in any medical-related qualifications. 

JOB SKILLS AND REQUIREMENTS

Computer literate and familiar with high processing speed using standard office software applications 
Team player with strong interpersonal and persuasive skills 
Good Communication and interpersonal skills
Good analytical skills and keenness to details
Excellent Negotiation skills
Effective decision maker

PROFESSIONAL QUALIFICATIONS

Certificate of Insurance Proficiency or any Insurance-related qualifications

EXPERIENCE

At least 3 years’ experience in a busy health Insurance environment with a Claims Vetting & Care management background more

Job description
Responsible for ensuring claims processes and services meets the established standards to guarantee efficiency, monitor and prepare controls for managing claims cost
KEY PRIMARY RESPONSIBILITIES

Conduct an audit of overall claims settled, placing special attention to high value, repeated visits, and duplicate claims. Check the error rate.
Review of STP claims in line with... acceptable process agreement
Identify Providers with significant billing irregularities or suspected of fraud and have regular provider engagement issues on billing.
Admissions tracking; checking on exaggerated bills, unnecessary admissions or overstay admissions, and doctors’ charges.
Enforce claims cost controls e.g. co-payments, discounts, provider restrictions, waiting periods
Frequent claimants, irregular services against MOH clinical standards of service
High average cost providers
Reimbursement reports review to pick exceptions and cold calling/impromptu visits.
Monitor and share reports of TATs for all key claims processes credit, reimbursement claims, discount claims.
Identify areas of improvement and scale up the STP process.

ACADEMIC QUALIFICATIONS

Business Related Degree 
Medical background
Risk / Quality assurance experience will be an added advantage

JOB SKILLS AND REQUIREMENTS

Team player with strong interpersonal and persuasive skills 
Good Communication and interpersonal skills
Good analytical skills and keenness to details
Excellent Negotiation skills and Effective decision maker

PROFESSIONAL QUALIFICATIONS

Certificate of Insurance Proficiency or any Insurance-related qualifications
Quality Assurance professional qualification will be an added advantage

EXPERIENCE

At least 3 years of relevant experience in a busy environment more

We are seeking a highly motivated and detail-oriented individual to join our team as an Agency Support Specialist – Payroll and Benefits Administration. The successful candidate will be responsible for overseeing the payroll and benefits administration for individual life sales force, ensuring accuracy and compliance with all applicable laws and regulations countrywide, and supporting all... agency-related support areas as assigned from time to time.
KEY PRIMARY RESPONSIBILITIES

Processing commissions and retainers due to the sales forces within set timelines and maintaining accurate records
Keeping track of sales force account debits and credits, processing advances and recovering advances granted within company policies, and ensuring clearance during exits.
Implementing career path, Sales forces Support Benefits and any ad hoc incentives within set company policies and timelines
Ensure compliance with all applicable laws and regulations related to payroll and benefits administration
Coordinate with finance and operations departments to reconcile payroll and benefits data and resolve any discrepancies.
Communicate with sales agents regarding payroll and benefits-related inquiries and issues.
Maintain accurate and up-to-date sales force records in the payroll and benefits systems; including enrolling sales force in benefit programs, coordinating open enrolment, and managing claims at exits.
Co-ordinating sales management meetings for the individual life sales managers;
Providing monthly reports to the Individual life management team on benefits utilization
Auditing, reviewing, and improving payroll and benefits administration processes through data analytics 
Facilitating, coordinating, tracking, and reporting the business acquisition activities of the sales force and keeping proper records for each sales representative, employer markets, and partners
Support coding of all individual life sales teams in line with the company coding guidelines
Support the on boarding of sales teams and equipping them with the necessary tools of trade
Facilitating and organizing national and regional awards forum for the sales team
Supporting the learning and development of the sales force through the APA Life Sales Force Academy

ACADEMIC QUALIFICATIONS

Bachelor’s degree in Finance, Accounting, Business Administration, or an equivalent.

JOB SKILLS AND REQUIREMENTS

Presentation and interpersonal skills
Leadership and time management skills
Strong analytical and problem-solving skills.
Excellent attention to detail and organizational skills.
Strong communication skills, both written and verbal.
Ability to work independently and manage multiple priorities.
Prior experience with payroll and benefits software, administration processes, and procedures will be an added advantage.

PROFESSIONAL QUALIFICATIONS

Progress in Relevant professional qualification IIK/LOMA or an equivalent

EXPERIENCE

At least 3 years of relevant experience. more

This position is responsible for achieving business growth by meeting new business targets. This involves risk review, correct pricing, effective credit control, delivery of set loss ratio and building and maintaining customer relationships.
KEY PRIMARY RESPONSIBILITIES

Secure new health business directly and through intermediaries as per set targets 
Addressing enquiries and feedback from... clients within the timelines stipulated in the service charter and/or SLAs signed with respective clients
Observing strict adherence to cash and carry rule and/or company credit control policy and escalating exceptions;
Responding to internal and external audit queries and implementation of recommendations;
Timely submission of quotations and tenders
Sending renewal notices to clients and advise on changes in policy if any;
Complying with statutory, regulatory and internal control processes at the business units;
Risk acceptance as per the set guidelines
Preparing weekly sales reports as required against the projected target
Advise cover terms to underwriting to enable timely and proper underwriting, set up and claims processing
Maintain excellent customer service with intermediaries and clients
Familiarize with the current market conditions and trends
Cross selling & upselling responsibility
Product development, new solutions that meet the ever changing needs of clients
Developing departmental budget and business plans to achieve the set company targets;
Participating in company CSR and brand building activities in liaison with other departments;
Training, coaching and mentoring staff in order to improve performance and cohesion within the department;
Implementing interdepartmental SLA in liaison with other departmental heads;
Participating in departmental meetings, projects and committees as assigned.

ACADEMIC QUALIFICATIONS

Bachelor’s degree in Actuarial Science or an equivalent.

JOB SKILLS AND REQUIREMENTS

Leadership skills 
Teamwork skills
Interpersonal and Communication skills
Analytical skills
Excellent sales and marketing skills
Knowledge of health insurance products, concepts and procedures

PROFESSIONAL QUALIFICATIONS

Progress towards Diploma in Insurance ACII/ Diploma in Insurance

EXPERIENCE

At least 5 years relevant experience more