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Jubilee Insurance KE   |   Nairobi, Kenya   |   Log in or register to see the closing date

Claims Assessor Group Life

  • Bachelor's degree
  • Medical, health
  • Experienced (senior worker)
  • Full Time
  • Permanent
Click to apply

Job Summary

Determining the validity of claims lodged with the company. Perform investigations and prepare summary report to guide on settlement or decline of claims lodged with the company Support the medical underwriting function by reviewing medical reports against underwriting decision.


Responsibilities

1. Claims Assessment
Review and determine that information submitted on claim forms is cohesive and in line with Policy terms of the scheme Determine that costs claimed for reimbursement are in line with market.

2. Claims Audit and Analysis
Provide periodic reports on nature of claims, causes and tends observed to inform decision making as a measure of scheme cost control. Provide claims analysis report to be inserted into client administration reports Support and work with underwriters on renewal of provider contracts to negotiate best rates. Analysis of claims, ailments and provider data to inform decision making in scheme cost controls
3. Management of nurses on Wheels program
Develop a nurses on wheel program for targeted clients Clinical Talks and Presentations to enhance the Life Wellness campaign
4. Team Roles
Work closely with underwriters and servicing team on client relation matters Providing technical and operational support to the regional offices in provider related queries. Work with underwriters to review policy exclusions lists in light of medical trends .
5.Training and Development
Develop modules on how to assess high risk medical claims and factors to note


General Information

Salary rangeNot specified
Additional informationNot specified
Contract type: Permanent
Job type: Full Time
Location: Nairobi
Area of work: Medical, health
Seniority: Experienced (senior worker)

Job Requirements

Required education: Bachelor's degree
Required relevant work experience: 2 years
Required skills: Risk analysis; Handling claims; Auditing; Public, corporate relations; Training program planning
Required languages: English (Spoken: fluent | Written: fluent)

Click to apply

Jubilee Insurance KE

Banking, microfinance, insuranceCompany size: 1000+ people

Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa in 1937. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, general and Medical insurance. Today, Jubilee is the number one insurer in East Africa with over 450,000 clients. Jubilee Insurance has a network of offices in Kenya, Uganda, Tanzania, Burundi and Mauritius. It is the only ISO certified insurance group listed on the three East Africa stock exchanges – The Nairobi Securities Exchange (NSE), Dar es Salaam Stock Exchange and Uganda Securities Exchange. Its regional offices are highly rated on leadership, quality and risk management and have been awarded an AA- in Kenya and Uganda, and an A+ in Tanzania.


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