Manager (Medical Underwriting And Claims) – Britam

August 20, 2024
Application deadline closed.

Job Description

Job Purpose and Key responsibilities

Job purpose
The role holder will be responsible for providing leadership and coordination to the medical department in country businesses. This includes medical sales, medical underwriting and medical claims. The incumbent will ensure the department strategies, objectives and action plans for profitable growth are formulated and implemented on an on-going basis as stipulated in the business plan.  The role will report to the Chief Executive Officer. 
Key responsibilities
1.    Procure medical insurance business from intermediaries and ensure that effective marketing networks are maintained with the major brokers
2.    Ensure that the company’s customer service benchmarks for claims, underwriting and policy issuance are consistently achieved
3.    Ensure that all reinsurance treaties are in force and that the reinsurance premiums are competitively priced
4.    Manage relationships with clients, intermediaries and service providers
5.    Ensure that medical insurance business is profitable and that the profit and cost centres in the department are consistently on budget
6.    Ensure that the medical Insurance business revenue budgets are achieved consistently on a monthly basis
7.    Manage staff levels and resources, provide direction, set goals and ensure that overall business goals are attained
8.    Plan and direct training, performance evaluations and career development to develop and retain staff
9.    Perform any other duties as may be assigned from time to time
10. Deliver on performance requirements as defined in the departments’ strategy map, balanced scorecard and Personal Scorecard. 
Key Performance Measures
 Profit before tax·         
Medical GWP growth rate·         
Medical GWP·         
Debtors ratio·         
Renewal retention·         
Compliance
Working Relationships Internal Relationships:

The Manager, Medical Business will be:·         
Accountable to the Country CEO·         
Directly responsible for staff working under this position·         
Required to liaise and work closely with the other business heads as may be necessary

External Relationships:·
        
 Regulatory Authorities·         
Britam customers·         
Insurance sector players·        
 Health sector players

Knowledge, experience and qualifications required

Knowledge, experience and qualifications required
1.    Bachelor’s degree (insurance option preferred). Masters’ Degree is an added advantage
2.    Professional qualification in Insurance (ACII)
3.    7-10 years successful insurance experience 3-4 of which should be in a management position
Essential Competencies
1.    Deciding and Initiating Action:
 Ensures, key organisational objectives are met, takes responsibility for decisions, actions, projects and people while focussing on achievement of strategic results; takes initiative and works under own direction; initiates and generates activity; makes quick, clear decisions with limited information available which may include tough choices or considered risks; decisions and actions takes into account possible impact on all parts of the business.
2.    Leading and Supervising: Provides the business with a clear direction based on the overall strategic intent of the organisation; motivates and empowers others with a clear sense of purpose; creates a positive organisational climate that fosters learning and development; acknowledge high potential talent; sets and articulates the vision and values through own personal behaviour.
3.    Relating and Networking: Easily establishes, as well as assists others in building good relationships with customers and staff across all departments, inside and outside of the organisation; relates well to people at all levels; facilitates the resolutions of conflict and manages disagreements with tact and diplomacy.
4.    Persuading and Influencing: Gains clear agreement and commitment from others by persuading, convincing and negotiating to the benefit of the organisation, promote the organisational strategy during conversations; makes effective use of political processes to influence and persuade others; promotes ideas on behalf of oneself, the department or the organisation; makes a strong personal impact on others; takes care to manage the organisation’s impression and brand on others.
5.    Formulating Strategies and Concepts:  Works strategically to realise organisational goals; sets and develops organisational strategies; identifies, develops positive and compelling visions of the organisation’s future potential; takes account of a wide range of issues across, and related to, the organisation; encourage others to take a strategic and long term view in terms of the organisation’s future; communicates the organisational strategy, vision and objectives effectively across all levels of the organisation.