
Submit CVs – Latest Recruitment at CIC Insurance
- Kenya
- Permanent
- Full-time
- Provide administrative support for Director, Risk & Compliance with the ability to understand and anticipate challenges facing leadership executives and be able to manage/reschedule priorities effectively and proactively;
- Works independently, proactively, and uses sound judgement skills daily;
- Schedule meetings, prepare meeting logistics, coordinate preparation and distribution of materials, maintain calendar, and assign tasks, etc;
- Compose correspondence for Director, Risk & Compliance signature;
- Prepares a variety of correspondence, forms, contracts, lists, requisitions, memoranda, letters, complex reports and other documents, formats, proofread materials to assure accuracy;
- Support the requisition of departmental stationery, Request For Proposal (RFP)/Request For Quotation (RFQ);
- Follow up and update matters for follow up assigned to the Director and the department as a whole;
- Coordinate with Director, Risk & Compliance and Board Secretary to ensure timely, submission of accurate, and comprehensive board reports per subsidiary and region;
- Prepares agenda and minutes related to the Departmental meeting and other meetings as assigned;
- Assist with preparing the annual budget for Risk & Compliance Department;
- Serve as liaison between Director, Risk & Compliance and outside entities;
- Research and provide recommendations on special projects/assignments;
- Manage incoming and outgoing telephone calls and email;
- Maintains a variety of complex files and records often involving confidential materials;
- Proofread complex Risk and Compliance documents;
- Perform research, compile information, reports and spreadsheets;
- Handle sensitive/confidential information requiring a high level of discretion; analyze problems and suggest solutions; and
- Any other related projects and duties as assigned from time to time.
Academic and Professional RequirementsEducation
- Bachelor's degree in law, Finance or Business or a Related field
- Professional Qualification MS Word, Excel, PowerPoint.
- Ability to learn risk management and data analytics software applications
- Relevant experience 4
- Risk Management experience Added advantage
- Register, analyze and process all reported uncertain claims and advice clients on the required claims supporting documents
- Verify and authorize processed claims up to specified limits;
- Resolve customer complaints and disputes swiftly, fairly and diplomatically;
- Analyze policies due for certain claims and process the claims within stipulated timelines.
- Communicate risk improvement measures for implementation to the underwriting department by monitoring claims experience trends.
- Prepare various claims analysis reports for clients and management consumption.
- Initiate claim recoveries, in conjunction with the reinsurance officer, from the reinsurer.
- Process all surrender payments within the stipulated timelines
Academic and Professional Requirements
- Education Bachelor's Degree Bachelor Degree in Actuarial, Statistics or a business-related field.
- AIIK, ACII or LOMA - Added advantage
- Relevant experience Three (3) years' relevant experience
- Support in the implementation of the Group-wide Compliance Framework.
- Implement the AML/CFT Compliance program for CIC Group.
- Collaborate with cross-functional teams to optimize onboarding, screening, and transaction monitoring workflows.
- Answer Business queries and support Regional Offices on matters related to onboarding workflows and transaction monitoring.
- Investigate alerts generated by Reis AML to identify and assess potential money laundering/terrorism financing risks.
- Escalate cases of concern and coordinate with relevant teams to implement corrective actions or reporting.
- Perform enhanced due diligence for High Risk Customers and file suspicious activities reports with Financial Reporting Centre where necessary.
- Analyze patterns and trends in transactions to identify unusual behavior and recommend risk mitigations proactively.
- Conduct Periodic Risk assessments and gap analysis on AML/CFT Controls and recommend improvements.
- Provide high level analysis on changes to AML/CFT laws and regulations and provide support to the Business on implementation.
- Maintain Up to date AML records including the high risk and PEP registers.
- Coordinate signoff of the high risk and PEP registers.
- Prepare regular AML/CFT/CPF reports for management and regulatory consumption.
- Any other as may be assigned from time to time.
Academic and Professional Requirements
- Education Bachelor's Degree from a recognized university
- Professional qualification in Financial crime is an added advantage
- Relevant experience 3 years
- Issuance of approval to insured members seeking both inpatient and outpatient care as per policy guidelines.
- Monitor cost, average length of stay on inpatient cases.
- Issue guidance on Pre-authorized optical, dental and scheduled procedures
- Conduct Hospital visits whenever the insured members are hospitalized
- Respond to stakeholder inquiries on cases involving medical care management.
- Receive and respond to Medical emergency lines and ensure 24-hour coverage
- Negotiate for discounts from doctors and hospitals on specific cases and procedures from time to time
- Facilitate referrals and medical evacuations when need be.
- Monitor benefits utilization and share timely updates to the stakeholders.
- Prepare and share timely reports as may be guided.
Academic and Professional Requirements
- Education Diploma in Nursing or Clinical Medicine
- Relevant experience in Care Management, medical claims and call centre 2years
- Establish guidelines for product testing at various stages of development, including unit, integration, system, and acceptance testing.
- Develop and maintain quality assurance standards, processes, and best practices to ensure consistent product quality.
- Work with the Agile coach and product owner in the creation of a comprehensive test plans and strategies that align with project goals, timelines, and feature requirements.
- Design, development, and execution of test scripts (manual and automated) based on requirements and acceptance criteria.
- Lead and mentor the testing team, fostering a collaborative and high-performing team environment.
- Facilitate communication between the testing team and other stakeholders to align on quality objectives and ensure smooth delivery.
- Collaborate with developers, product managers, and stakeholders to understand project requirements, timelines, and resolve issues.
- Collaborate with Agile coach, Development team and product analyst in outlining test quality metrics, test progress, and areas of improvement to stakeholders and management.
- Drive continuous improvement in the QA process by assessing risks, identifying inefficiencies, and implementing process changes.
- Work with stakeholders to define and implement security testing as part of the QA process where applicable.
Academic and Professional Requirements
- Education Bachelor's Degree Degree in Computer Science, Engineering, Information Technology, or a related field or related field.
- Professional Qualification Certified Software Quality Analyst (CSQA), ISTQB Certified Tester, or equivalent are a plus.
- Relevant experience 3-5
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