• Oversee the entire Operations of the relevant Division of company
  
• Ensure set and agreed Income, Underwriting Profit and Overall Company Profitability targets of the Division are met
  
• Lead the Company in negotiating with Healthcare providers including Ambulance Service Providers and Health Education and Promotion Providers, prices for services rendered and contract terms that are favorable to the Company
  
• Lead the Company by identifying and building relationships with Healthcare Providers in East Africa, Asia and Southern Africa to ensure the company's customers receive affordable and seamless services when referred for foreign treatment.
  
• Ensure accreditation of Healthcare Providers is professionally done as per the Company guidelines so that the interests of the Company in relation to Claims Management are protected.
  
• Develop in collaboration with Executive Management strategies that ensures growth in Direct Business in line with agreed parameters and targets as guided by the Board of Directors during Business Planning.
  
• Lead the Company by identifying business opportunities in the market and negotiating and concluding deals and develop products and services that must result in the Company’s increased market share and profitable growth.
  
• Lead employees to encourage maximum performance and dedication and foster a corporate culture that promotes ethical practices, customer focus and establish policies that promote company culture and vision.
  
• Ensure retention of existing insured portfolio through thorough customer management and servicing
  
• Maintain close relationship with all intermediaries which would aid in retaining clients as well as securing new clients
  
• Evaluate Product designs and Service Providers’ performance by analyzing and interpreting data and metrics, and thereafter guide the Underwriting and Claims teams in terms of product structure, pricing and opportunities for negotiations with Clients and Health Centres/Hospitals
  
• Develop in collaboration with the Executive Management SOPs and Guidelines for all operational processes including Claims Adjudication and Underwriting of Medical Insurance risks.
  
• Engage in medical claims management and innovate and implement claims saving strategies including fraud detection and management and other case management activities.
  
• Develop and Maintain Employee Wellness Programs for the Company’s clients to serve as a platform to educate on medical insurance matters and healthy living and ultimately resulting in reduced claims costs.
  
• Implement IT-driven processes and intervention into every operational matter of the company.
  
• Oversee and ensure the core insurance system functionality and stability in relation to operations and explore and implement further innovative IT solutions to improve efficiencies and cost management.
  
• Develop, an annual operating plan that supports the Corporation’s long term business strategies and maintenance of a satisfactory competitive position within the insurance industry.
  
• Take lead responsibility for the maintenance and development of the Company’s reputation and relationships with the policyholders, and Healthcare Providers
  
• Keep the CEO-Medical Division fully informed in a timely and candid manner of the conduct of the day-today operations of the Medical Insurance division towards the achievement of its established goals.
  

Requirements