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Group Life Administrator

KEY TASKS AND RESPONSIBILITIES

  • Retentions – Managing renewal to ensure high retentions
  • New business onboarding process in line with laid processes i.e KYC and AML guidelines.
  • Preparation of costing schedules for group risk schemes based on data provided by the brokers or clients and raising the invoice in the system.
  • Follow ups on premium payments in conjunction with the credit control teams.
  • In liaison with Legal teams ensure timely contract executions and sign offs
  • Preparing policy documents/renewal endorsements and ensuring scheme records are maintained both in various scheme files as well operating IT system.
  • Preparation of monthly reports as required i.e managements, finance, actuarial and reassurance.
  • Managing the last Expense client portfolios both direct, digital or through the various distribution channels.
  • Carry out member education to create awareness of the benefit scope and day to day scheme management.
  • Prepare letters for members whose sum assured are above FCL and ensure follow up with client/intermediaries.
  • Liase with underwriting team for cover acceptance and ensure underwriting terms are shared with the scheme.
  • Daily scheme management i.e query management within TAT, adding new members to the scheme/Deleting exits and raising debit/credit note as required.
  • Ensuring adequate scheme reassurance placement is done for all new business and renewal as per the treaty.
  • Provide quarterly reports to the brokers and clients.
  • Follow up with brokers and clients to ensure timely payment of premium.
  • Carry out premium reconciliation and prepare premium statements for the clients to adequate cover
  • Analyse reported claims to ensure the scheme and the members was fully declared prior to claim occurring.
  • Prepare commissions payments for our brokers and agents.
  • Provide quality customer service to both internal and external clients.
  • Preparation and production of monthly schemes management reports.
  • Liaise with brokers and direct clients and respond promptly to verbal, written and telephone enquiries on policy benefits and operation.
  • Producing quarterly reinsurance reports to the Reasurers.
  • Any other roles assigned by the supervisor

SKILLS AND COMPETENCIES

  • Good communication skills
  • Computer literate
  • Good assessment and analytical skills
  • Ability to interact at all levels
  • Knowledge of insurance market
  • Report writing and presentation skills Good product knowledge

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KNOWLEDGE & EXPERIENCE

  • Product and process knowledge
  • Possess strong verbal and written communication skills
  • Ability to work as part of a team
  • Proven analytical skill
  • Possess excellent arithmetic skills.Self-starter who shows initiative and is able to work under minimal supervision

QUALIFICATIONS

  • Undergraduate Degree in Commerce (Insurance Option), Actuarial Science or Business related.
  • Professional qualifications in Insurance such as AIIK,CII, COP added advantage.
  • At least 2 years’ experience in a similar role.

Financial Accountant 

Job Description

  • Preparation of Monthly Financials and annual audited financials.
  • Preparation of Functional Income Statements
  • Preparation of Business plans and Forecasts
  • Preparation of monthly, quarterly, and yearly financial reports.
  • Responsible for the following entities: – OMHPLC & Shared services
  • Preparation of entities audited financials.
  • Running the financial and regulatory audits of the entities
  • Preparation of Monthly financials of the entities
  • Preparation of Monthly Functional Income Statements.
  • Maintaining & Improving the financial reporting control environment of the entities
  • Providing insightful analysis into the monthly financials of the entities
  • Identifying areas of cost saving in the entities
  • Identifying areas of automation & process improvement in the various duties carried out.
  • Management of entities Fixed Assets & fixed asset register.
  • Uploading entity financials(collectors) into HFM.
  • Tracking and recognition of investment Income & finance cost
  • tracking of actual spend vs budget
  • Daily upload of exchange rates in D365
  • Opening and closing of Periods In D365
  • Running of year end process for the group in D365
  • Intercompany reconciliation Grid and guiding the teams.
  • Monthly consolidation of property financials.
  • Monthly foreign exchange revaluation In D365
  • Creating of new dimensions and Fiscal calendars in D365.
  • Creating of new ledger accounts In D365
  • Maintaining east Africa Mapping in FDM
  • Preparation of the entities quarterly Board Reports
  • Preparation of entities Business Plans
  • Preparation of monthly entities financial forecasts
  • Preparation of OMHPLC Half year and Full year publications
  • Preparation of entities Opscom report.

Skills

  • Financial Analysis and Reporting, Financial Forecasting, Income Statements, Intercompany Accounting, Process Improvements

Product Development Officer

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KEY TASKS AND RESPONSIBILITIES

  • New product development and major reviews of existing products –
    • Creation of pricing models (Excel and Prophet) and pricing specification documents.
    • Competitor analysis
  • Assist in building product rules on the various Life systems, working with the system vendors. Test and monitor deployment.
  • Regularly monitor product rules on the various Life systems, investigate and propose fixes for the system vendors to implement. Test and monitor deployment.
  • New business support – Retail
    • Drafting responses to customer queries on benefits and projected values.
    • Creation and review of (Web and Excel) quotation tools per product
    • Review of surrender and maturity values for all products that are not in the Life System.
  • Corporate Business support –
    • Calculation of profit shares for schemes
    • Creation and review of quotation tools
  • Client services support – responding to difficult customer queries specific to nature of query and product rules that apply.
  • Regular reinsurance optimization projects: – modelling scenarios
  • Proposing and implementing changes to minor product rules and processes to improve operational efficiency and customer experience.
  • Regular reporting of the performance of new and reviewed products.
  • Updating advisor packs to incorporate important information.
  • Ad hoc tasks as requested by management from time to time.

SKILLS AND COMPETENCIES

  • Extensive experience in product pricing and profit-testing.
  • Proficiency in Prophet.
  • Proficiency in Excel and Visual Basic Application.
  • Excellent critical thinking and problem-solving skills.
  • Good business acumen

KNOWLEDGE & EXPERIENCE

  • 4-5 years of experience in product development and/or actuarial valuations.
  • Technical knowhow.
  • Knowledge of the Kenyan life products market.

QUALIFICATIONS

  • Bsc. Actuarial Science.
  • Actuarial qualifications; passed at least 7 actuarial examinations.

Operations & Pricing Technical Manager

Job Description

The main aim and purpose of the role is to ensure accurate and timely Pricing for all funds namely OMLAC, OMLAK and all Unit trust fund. The role is responsible for managing the Daily and weekly pricing and ensuring that all customers receive a consistently correct pricing and service by effectively managing the Pricing docket. Where staff supervision is required, incumbent must develop all available resources (staff, systems, processes) and ensuring that a high-performance culture becomes entrenched in the team. This role shall require liaising with internal and external clients to ensure all basic requirements have been met.

  • Review the current pricing processes to ensure effectiveness and quality standards.
  • Implement new processes where none are in existence.
  • Provide training/training support for new and existing personnel where necessary
  • Coach new and existing personnel.
  • Ensure all Pricing processes are documented, and changes are updated.
  • Ensure processes are inclusive of all regulatory requirements.
  • Monitor system performance and recommend modifications so that unit can take best advantage of information systems technology to meet the unit’s goals and objectives.
  • Take up and deliver on any other activities/projects that may be delegated by management.
  • Ensure standardised processes are in place and service and quality standards are being adhered to.
  • Collaborating with others to achieve personal and team objectives.
  • Achieve results through personal efficiency.
  • Team player to ensure delivery of team objectives.
  • Identify, manage, and minimise risks/control breaks on the Pricing process
  • Escalate risks/control breaks to management when identified.
  • Prepare for audits, assist in the development of management actions for audit issues, and implement the same within set timelines for all pricing.
  • Ensure pricing compliance to all regulatory requirements and internal policies.
  • Ensure no gaps in pricing and be held accountable for any claims and/or errors that impact financials and customer claims.
  • Maintain relationships with relevant departments.
  • Builds and maintains relationships with intermediaries and brokers.

Medical Claims and Operations Manager

KEY TASKS AND RESPONSIBILITIES

  • Oversee the claims process flows to ensure efficiency in processing of claims as per the company medical claims procedure manuals
  • Supervise processing and settlement of medical claims as per the claims manual and customer service charter to ensure compliance and mitigate risk
  • Holding regular business meetings with service providers to ensure compliance with stipulated claims procedures and other contractual terms
  • Monitor, prevent and control medical claims fraud by carrying out regular audits on the internal and external systems and processes, as well as service providers
  • Claims cost management through enforcement of agreed tariffs, negotiation of preferential rates and discounts, monitoring claims trends and conducting utilization review
  • Oversee the Business Processing and Retail Underwriting to ensure prompt booking of business, accurate membership management and timely processing of membership documents
  • Oversee the business document management process to ensure prompt scanning of claims and underwriting documents and indexing in the relevant systems
  • Oversee the Quality Assurance function within the health business
  • Supervise, train and mentor medical claims and operations staff to achieve a high level of motivation and productivity
  • Prepare regular claims and operations reports to management, intermediaries and clients and advice underwriting team on relevant claims findings for medical risk review
  • Working directly with finance team in management of provider reconciliations and payments
  • Direct oversight of the claim’s workflow (processing and settlement) to ensure efficiency in processing of claims as per the company medical claims procedure manuals
  • Maintaining strong working relationships with service providers, Intermediaries, Clients, all departments and all business stakeholders
  • Work closely with ICT and Business analysts for any decision making on implementation of system requirements.
  • Any other roles assigned by management from time to time

SKILLS AND COMPETENCIES

  • Strong leadership and management skills
  • Ability to work independently and build effective interpersonal relations
  • Bias towards innovation and development of new ideas in problem solving
  • Professionalism in dealing with both internal and external stakeholders
  • Excellent communication and negotiation skills.
  • Extensive networking with service providers and other medical insurers
  • Excellent analytical and monitoring skills
  • Ability to evaluate decisions made in benefit utilization management
  • Integrity and honesty

KNOWLEDGE & EXPERIENCE

  • Demonstrated knowledge of managed care practices, medical claims management and business operations
  • At least 3 years’ managerial experience in a medical insurance company
  • At least 2 years’ experience in a busy clinical setting
  • Addressing operational concerns and issues, monitoring overall customer satisfaction.
  • Developing and implementing operational procedures and policies

QUALIFICATIONS

  • Bachelor’s degree in a Business-related field or Degree in medicine/pharmacy/nursing
  • Postgraduate qualification in healthcare management, health systems management, health economics or business administration (MBA)
  • Diploma or Certificate in Insurance will be an added advantage

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