Jobs

 KPMG Recruitment (October 2024): Open Jobs/Vacancies Application

 KPMG Recruitment (October 2024): Open Jobs/Vacancies Application

 KPMG Recruitment (October 2024): Open Jobs/Vacancies Application

KPMG is a professional service company, being one of the Big Four auditors, along with Deloitte, EY and PwC. Seated in Amsterdam, the Netherlands, KPMG employs 174,000 people and has three lines of services: audit, tax, and advisory.

Head of Underwriting and Enrolment

Key roles and responsibilities

 Leadership and strategy

  • Formulate and execute underwriting and enrollment strategies, policies, and guidelines aligned with the company’s vision, mission, and values.
  • Contribute to the development and execution of the company’s strategic and operational plans and engage in cross-functional projects and initiatives.

Risk and compliance management

  • Identify, assess, and manage operational risks, ensure robust controls are in place and escalate significant risks to the Risk Management Committee.
  • Ensure compliance with risk policies, incident management, privacy, information security requirements, and relevant Kenyan regulations.
  • Ensure underwriting and enrollment processes comply with regulatory and ethical standards as well as maintain optimal risk exposure and profitability.

Performance monitoring and quality assurance

  • Oversee service quality through rigorous quality assurance measures to ensure compliance with quality and regulatory standards.
  • Track and assess underwriting and enrollment performance with key metrics, produce management reports, and take corrective actions as needed.
  • Collaboration and stakeholder management
  • Build and sustain effective relationships with external customers, partners, and vendors and ensure underwriting and enrollment service standards are met or exceeded.
  • Coordinate with other departments in the company and across the wider global operating model for IPMI servicing.
  • Manage outsourcing for underwriting and enrollment, ensuring effective service delivery by company entities or third-party providers per service agreements.

Operational resilience and continuous improvement

  • Maintain operational resilience and business continuity in the claims process to ensure service continuity and minimize negative customer impact during disruptions.
  • Identify and apply continuous improvement opportunities in underwriting and enrollment by leveraging industry best practices and emerging trends.

Technical guidance and support

  • Provide technical and operational guidance to the Underwriting and Enrollment team, and support Sales, Marketing, Claims, and Finance on related matters.
  • Manage complex underwriting cases and collaborate with sales, governance, and pricing teams for fair resolution.

Academic/Professional qualifications and Experience:

  • A bachelor’s degree in Business, Medicine, Finance, Actuarial Science or a related field from a reputable and accredited institution of higher learning.
  • Professional qualification or certification in underwriting, insurance or risk management is an added advantage.
  • A minimum of five (5) years experience in underwriting and enrolment, ideally in international private medical insurance or equivalent such as domestic private medical insurance or life insurance businesses.
  • Proven expertise in creating and executing underwriting and enrollment strategies, policies, and procedures while ensuring compliance with regulatory and ethical standards.
  • In-depth knowledge of the private medical insurance market in Kenya, including current trends and industry challenges.
  • Excellent problem-solving and decision-making abilities, with a strong capacity to analyze service issues and make timely and sound decisions.
  • Good communication and interpersonal skills, with the ability to engage effectively with stakeholders at all levels to achieve successful outcomes.

go to method of application »

Head of Claims – Kenya

Key roles and responsibilities

Policy development and implementation

  • Develop and implement claims policies, procedures, and standards in line with the company’s vision, mission, and values.
  • Ensure adherence to the company’s enterprise policies, and relevant regulations and legislations in Kenya.

Operations management

  • Responsible for claim operations, budget, performance, and customer experience.
  • Ensure the timely and accurate processing and payment of claims, delivering a good customer experience while ensuring regulatory compliance.
  • Work closely with Head of Group Claims Management to ensure the claims process activities outsourced to service entities or third-party suppliers, are delivered effectively and in accordance with service agreements.

Performance monitoring and reporting

  • Monitor and analyze claims data and trends, providing regular management information (MI) and operational performance reports to management committees and the Board.
  • Review and update the claims service level agreements and key performance indicators to ensure target achievement and customer satisfaction.
  • Oversee the risk and controls in the claims operation, ensuring compliance with enterprise policies, procedures and regulatory requirements.
  • Manage service quality through robust quality assurance to ensure adherence to the quality and compliance standards.

Risk management and compliance

  • Provide the Board with sound advice, assurance and useful and timely reports from the Audit committee.
  • Manage relationships with external stakeholders including Head of Internal Audit and external regulatory bodies, external Audit Partner and auditors.
  • Identify, assess, monitor, and manage operational risks associated with the claims handling process with support from the risk management function.
  • Collaborate with the claims fraud, waste, and abuse (FWA) function on prevention and detection measures and in driving adherence to anti-fraud policies and regulations.
  • Ensure adequate operational resilience and business continuity planning within the claims process to minimize customer impact during disruptions.

Continuous improvement and innovation

  • Collaborate with the centralized Claims Process and Payment Integrity function to recommend improvements to local claims policies, procedures, and standards in line with the company’s vision, mission, and values.
  • Handle complex and escalated claims cases and complaints, ensuring fair and satisfactory resolution.
  • Identify and implement best practices and innovations in the claims handling process, enhancing the efficiency and effectiveness of claims systems and processes.
  • Drive continuous improvement initiatives within the department to deliver change through innovative solutions, including automation, data analytics, and AI.

Academic/Professional qualifications and Experience:

  • A bachelor’s degree in Business Administration, Finance, Management, or a related field from an accredited reputable institution.
  • A minimum of 5 years of experience in claims management in international private medical insurance (IPMI), or other financial services industries such as domestic private medical insurance or life insurance.
  • Experienced claims management and customer service professional.
  • Strong ability and proven track record in driving significant claims savings and operational expense cost reductions.
  • Proven ability to deliver strong KPI performance in a claim management function through excellent leadership and a strong focus on results.
  • Strong problem-solving and decision-making skills with a strong leaning towards innovation and improvement.
  • Excellent communication, teamwork and collaboration skills, with the ability to work effectively and cooperatively with others.

go to method of application »

Actuarial Manager

Key roles and responsibilities

Actuarial activities and Board reporting

  • Report on technical provisions and liabilities, solvency position, loss ratio performance and key actuarial matters to the Principal Officer, the Board and Executive team.
  • Interact with the Global Actuarial function to conduct reserving activity for the company and ensure reserving activity is in line with company’s broader approach to capital and risk management.
  • Evaluate and provide advice on key actuarial areas including actuarial and financial risks, investment policies and valuation of assets and current and prospective solvency position.
  • Ad-hoc reporting and analysis as required, including deep dives into key focus areas to understand drivers of performance.

Regulatory and statutory reporting

  • Support the statutory actuary in completion of company’s regulatory calculations and disclosures, such as financial condition testing and solvency requirements.
  • Prepare quarterly actuarial valuation as required by the IRA.
  • Liaise with the IRA on actuarial matters, supported by the Principal Officer and the company’s Actuarial function.

Pricing analysis

  • Interact with the Global Actuarial Function to coordinate and conduct pricing on new and existing Intelligent
  • Platform Management Interface products in Kenya.
  • Collaborate with the Global Actuarial Function to facilitate and interpret market inflation and competitor pricing analysis.
  • Report on key pricing matters to the Principal Officer, the Board and Executive team.

Tools and framework development and best practice

  • Provide actuarial expertise and input in the delivery of the strategic initiatives and apply advanced analytical methods to drive business solutions.
  • Identify and support the deployment of new analytical techniques, tools and data sources to streamline the delivery of actuarial activities.
  • Promote best practices and continuous improvement processes and procedures.
  • Maintain strong relationships with the regulator, financial institutions, auditors and other external stakeholders.

Academic/Professional qualifications and Experience:

  • A bachelor’s degree in Actuarial Science, Mathematics, Statistics or a related field from a reputable and accredited institution.
  • Pursuing fellowship of the Actuarial Society of Kenya, or equivalent and excelled in recognized actuary professional qualifications.
  • Extensive background and proven work experience in actuarial and pricing functions in the insurance or financial services industries.
  • Ability to process data quickly, and strong attention to detail.
  • Excellent interpersonal, communication and influencing skills and ability to identify business drivers for performance.
  • Experience in exceptional stakeholder management and ability to build and strengthen relationships.
  • Ability to adapt to changes in business in a fast-paced environment, prioritizing tasks and working through conflicting priorities and deadlines.
  • Demonstrate problem solving and decision-making skills.
  • Collaborative team player willing to support development of colleagues.

Method of Application

If you are interested in this exciting opportunity, Please send your application for your consideration to this email: hrservices@kpmg.co.ke quoting ‘Head of Underwriting and Enrolment’ by 4 October 2024.

Related Articles