Department
Health Insurance Services(HIS)
Position Type
Permanent
Experience Required
5 years
Key Responsibilities
The key functions of the role will include but not limited to;
- Supervise enrolment processes to ensure automatic and manual registrations meet set criteria.
- Monitor and verify member eligibility, especially in response to life changes (employment, income, family status).
- Review and authorize income-based contribution adjustments based on verified salary, or household income changes.
- Provide guidance to principal members and beneficiaries regarding policy entitlements, claims, and access to services.
- Manage coverage amendments arising from marriage, childbirth, retirement, or other significant life events.
- Ensure timely updates of Principal and beneficiary records in the system.
- Collaborate with claims and provider relations units to resolve discrepancies and improve turnaround time.
- Prepare data audit/cleaning reports.
- Oversee transitions of members across jobs, regions, or into retirement to ensure uninterrupted coverage.
- Maintain accurate exit and transfer records in the system, including death notices etc.
Education Requirements
- Grade twelve (12) School certificate with 5 ‘O’ levels with credit or better including Mathematics and English Language
- Health Insurance, or any Social Security related qualification will be an added advantage.
- Bachelor’s degree in Social Sciences, Business Administration, Insurance, or related field.
- Minimum 5 years’ experience in Health Insurance Administration or Policy Holder services.
Required Skills
- Strong understanding of Social Health Insurance systems and lifecycle-based policy administration.
- Proficiency in Microsoft Office Suite and any Member Information System.
- Ability to manage sensitive member data and maintain confidentiality.
- Excellent analytical, organizational, and communication skills.
- Proven ability to train, lead, and supervise Junior staff
- Must have good interpersonal skills.
- Attention to detail and excellent analytical skills
- A valid driving Licence.