Key Responsibilities

• Ensure that all claims are properly documented and reviewed to ensure that they are processed in accordance with policy guidelines.
• Regularly review the adequacy of claims reserves.
• Monitor claims experience trends and make recommendations to the underwriting department on relevant risk improvement measures.
• Maintain profitable relationships with third parties among service providers.
• As per the Customer Service Charter, attend to customers and handle inquiries and complaints.
• Submit monthly reinsurance recovery reports and document claims for reinsurance recovery.
• Compile monthly claims reports for the Insurance Regulatory Authority.
• Effectively supervise department staff to ensure that their day-to-day responsibilities align with the company’s strategic direction.

Requirements

• A Bachelor’s degree in insurance, actuarial science, or a business-related field, as well as ACII or Dip IIK
• At least 5 years of experience in Group Life Claims Management, 3 of which should be in mid-level management or above.
• Technical knowledge of insurance operations, industry trends, and the regulatory framework,
• Good communication, problem-solving and analytical skills, with the ability to demonstrate teamwork, and work in a busy, dynamic as well as deadline-driven environment.
  • Working knowledge of the Microsoft Office suite and at least one insurance management software

Key Responsibilities

• Plan, execute and manage assigned risk-based audit engagements.
• Assist in the development of the organization’s risk mitigation strategy/plan
• Conduct policy attestations and assist in the development and updating of policies and procedures by enforcing documented standards.
• Discuss audit findings and recommendations with managers, and propose appropriate controls to mitigate risks.
• Ensure that external audits are effectively carried out and audit recommendations are implemented.
• Facilitate Ad-Hoc investigations and reviews as requested by the Audit Committee.
• Identify key areas of risk within the Sacco and maintain a comprehensive risk register.
• Conduct follow-up audits and monitor the timely implementation of management actions agreed upon in audit reports.
• Oversee the annual organization-wide risk assessment process to assess the likelihood and impact of identified risks.
• Conduct internal and external compliance audits to ensure adherence to relevant policy and regulatory frameworks.
• Prepare quarterly board papers for the board audit committee.
• Provide Management and the Board of Directors with periodic updates on the status of all department policies and procedures.
• Report to the Board of Directors on significant areas of non-compliance with policies or internal controls on a regular basis.

Requirements

• Bachelor’s degree in Finance, Economics or Business Administration
• Certified Public Accountant (CPA) and a member of ICPAK. CIA or CISA as well as IIA membership is added advantage.
• 5 years of experience in a financial institution,
• Effective auditing, analysing information, statistical analysis & reporting skills.
• Excellent communication, organizational and problem-solving skills.