“Join the leaders in technology driven products and services”
Job Purpose
The incumbent will be responsible for the formulation, development and oversight of the business’s corporate strategies and operational excellence in order to support growth objectives while strengthening the business core to develop and maintain a competitive advantage.
Qualifications and Experience
- First Degree in Insurance or equivalent
- Insurance Associateship or equivalent
- Masters qualification
- 6 years’ experience in a similar or related environment, with a minimum of 4 years in a Senior Management position.
Key Result Areas
- Provides strategic and tactical direction in the digitization of new health products and/ or existing processes and procedures thereby creating a competitive edge for the short term business.
- Provides input into operational strategies, product development, business development practices and communication strategies to ensure value retention
- Performs effective monitoring of all systems used within the health insurance business to ensure mitigation against prolonged downtimes that adversely affect customers
- Champions the development of health insurance control mechanisms to mitigate against revenue leakages at new business level, renewals level, claims processing level and recoveries level
- Collaborates with Head and supports departments to gather input and facilitate the automation of various required reports for the effective management of the short term business.
- Defines the road map for the Products and Services relevant to the current market demand, and to the identified future growth areas, as per the Business targets and financial budget.
- Ensures and approves the Product Road Maps and releases schedules in line with the Product Development Strategy.
- Development of weekly/quarterly/annual strategic operations reports for the senior strategy management as well as the business’s top leadership
- Develops and updates health claims processes and procedures in line with business trends and insights to ensure effective and efficient management of the health insurance claims section
- Develops, updates and monitors adherence to defined processes and procedures within the health insurance claims section to mitigate against revenue leakage
- Develops controls to mitigate against fraud emanating from connivance within the value chain, submission of fraudulent claim documents or inflation of invoices for personal gain
- Develops monitoring tools to ensure health claims are processed and feedback provided to customers on the position of the claim within 72 hours thereby for an exceptional customer experience
- Assures relevance and strategic fit for all new products developed in line with the strategic direction of the business.
- Tracks the business cases by monitoring and measuring revenues and profitability and taking appropriate action.
- Manages the overall health product mix and the contribution of each product and service to the business while managing the continual product life cycle process and adjusts accordingly.
- Performs any other relevant duties as may be assigned by Executive Head
Send Email to Colin Roberts & Mirriam Dzapasi