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

The role is responsible for carrying out audits by providing independent, objective assurance and consultancy services in order to improve the group overall operations, with specific emphasis on the controls, governance and processes.
KEY PRIMARY RESPONSIBILITIES

Participating in the high-quality planning, execution and reporting of audits. Ensure the audit jobs maintain thorough and... high-quality results within defined audit plans & budgets.
Reviewing various business processes and documents to check for controls and compliance with the company policies and procedures. This involves:
Conducting interviews during audits, 
Preparing working papers for the various audits
Developing and administering surveys,
Summarizing audit issues.
Identifying all risks including people, technology and process risks, and evaluating the efficiency and effectiveness of controls;
Provide practical and cost-effective advice to management on designing, implementing and enhancing internal controls;
Drafting and communicating the results of audit via written reports and oral presentations to management;
Following up with HOD’s to check on the implementation of the audit recommendations;
Training and guiding the Audit Assistants in the execution of the audit plan;
Conducting data extraction and analysis utilizing software tools;
Performing ad hoc assignments as required (e.g. investigations, advisory engagements).

ACADEMIC QUALIFICATIONS

Bachelors’ degree in Accounting / Finance – second class upper 

JOB SKILLS AND REQUIREMENTS

Detailed understanding of principles, practices and techniques related to Internal Audit
Strong relationship, communication and stakeholder management skills
Ability to evaluate risks, articulate issues, develop consensus, raise awareness and recommend practical solutions
Strong written and verbal language skills
Advanced analytical skills
The ability to work under pressure and be resilient and tenacious to get results

PROFESSIONAL QUALIFICATIONS

CPA (K) or ACCA
Holder of Certified Information Systems Auditor (CISA) or Certified Internal Auditor (CIA)or Certified Fraud Examiner (CFE) is and added advantage

EXPERIENCE

At least 4 years relevant working experience in internal or external audit
Experience in use of CAATs (Computer Aided Audit Techniques)
Broad audit expertise coupled with good understanding of financial services sector and impacting laws & regulations. more

This role is tasked with the implementation of compliance frameworks, and ensuring compliance of the various entities to applicable laws, regulations and operational controls. The Officer is responsible for supporting a strong Group-wide Compliance culture through the day-to-day management of operational and regulatory compliance framework. The officer will also perform independent reviews on... compliance with the group’s policies and procedures, assess adequacy of risk management controls, observance of regulatory requirements and highlight exceptions or violations.
KEY PRIMARY RESPONSIBILITIES

Develop and implement an effective legal compliance program for the whole group
Set plans to manage a crisis or compliance violation
Educate and train employees on regulations and industry practices
Address employee concerns or questions on legal compliance
Keep abreast of internal standards and business goals
Sign off on any marketing and advertising collateral to ensure it is compliant to applicable laws and regulations
Coordinating the Risk & Control Self-Assessment (RCSA) framework across the various businesses and support units
Tracking and analysing incidences of frauds (successful and attempted), identify causes and working with respective units on their implemention of comprehensive measures to close loopholes.
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.
Identify areas of compliance weakness and recommend remedial measures in consultation with the Group Head of Risk & Compliance and other senior business leaders as appropriate.
Perform the role of AML/CTF Compliance Officer, including training and awareness, oversight of customer due diligence and suspicious transaction monitoring and reporting
Coordinating with key internal stakeholders and external authorities to resolve compliance-related issues and client complaints
Any other duty as assigned from time to time

ACADEMIC QUALIFICATIONS

Bachelor’s degree in law, accounting, business, public administration, or a related field

JOB SKILLS AND REQUIREMENTS

Knowledge of insurance operations.
Good understanding of regulatory requirements, legal and prudential guidelines.
Good communication skills.
Analytical skills.
IT proficiency.
Adaptable to changing environments 

PROFESSIONAL QUALIFICATIONS

Possession of a professional designation such as Certified Compliance Officer, Certified Internal Auditor, Certified Public Accountant, Certified Public Secretary, Certified Information Systems Auditor, AML or Certified Fraud Examiner
Chartered Institute for Securities Investment (CISI) certification an added advantage

EXPERIENCE

At least two years in a compliance, risk management or legal practice within a large organization preferably in a financial services industry or a consulting firm
Well-grounded in CMA, IRA and RBA compliance issues. more