Job Description
Job Ref. No: JHIL088
Position: Assistant Medical Accountant
Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa. Jubil ee
Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling
Life, Pensions, General and Medical Insurance. Today, Jubilee is the number one insurer in East Africa with over 450,000 clie nts. Jubilee
Insurance has a network of offices in Kenya, Uganda, Tanzania, Burundi, and Mauritius. It is the only ISO certified insurance group
listed on the three East Africa stock exchanges – The Nairobi Securities Exchange (NSE), Dar es Salaam Stock Exchange and Uganda
Securities Exchange. Its regional offices are highly rated on leadership, quality and risk management and have been awarded an AA-
in Kenya and Uganda, and an A+ in Tanzania. For more information, visit www.JubileeInsurance.com.
We currently have an exciting career opportunity for an Assistant Medical Accountant within Jubilee Health Insurance
Limited. The position holder will report to the Medical Accountant and will be based at our Head Office in Nairobi.
Role Purpose
To reconcile assigned medical providers and support the business on medical financial issues. The role involves working closely with
the finance, claims, and underwriting teams to ensure the integrity of financial data, compli ance with accounting standards, and
effective financial management within the medical accounting function.
Main Responsibilities
Operational
1. Monitoring of payments to medical service providers and confirmation of receipt of payments by providers.
2. Reconciliation of service providers and period sign offs.
3. Preparation of reports on a weekly, monthly basis.
4. Analyzing and monitoring cost trends for medical providers on a continuous basis.
5. Setting up systems within the department to ensure optimum productivity within the various business units.
6. Preparing and sending statements and utility reports to members, brokers, or agents monthly or as when requested.
7. Excess management and collection.
8. TPA reconciliation and management.
9. Following up for payment approvals.
10. Answering to audit queries.
11. Review of claims to ascertain quality of processing.
Corporate Governance
1. Ensuring compliance with applicable accounting standards, financial regulations, and industry-specific guidelines in the
management of medical accounting and financial reporting processes.
2. Upholding the principles of financial integrity and transparency by maintaining accurate and reliable financial records, preparing
timely and accurate financial reports, and ensuring the proper disclosure of financial information.
3. Contributing to the establishment and maintenance of effective internal controls and risk management processes within the medical
accounting function.
4. Demonstrating ethical conduct and professionalism in carrying out financial responsibilities, including maintaining confidentiality of
financial information, avoiding conflicts of interest, and acting with integrity and objectivity.
Culture
1. Foster effective working relationships with internal stakeholders, such as underwriting, claims, finance, and actuarial teams, to
ensure alignment and collaboration in medical accounting activities.
2. Engaging in ongoing professional development activities to enhance knowledge and skills in claims assessment, reconciliation,
payment processing, regulatory compliance, and corporate governance.
Key Competencies
1. Financial Acumen
2. Analytical Skills
3. Meticulous attention to detail to ensure accuracy and completeness in financial reporting and analysis.
4. Strong problem-solving skills to address financial discrepancies, anomalies, and control issues.
5. Excellent communication and interpersonal skills to effectively collaborate with stakeholders and explain financial information.
3. Compliance and Regulatory Knowledge
6. Teamwork
7. Technology Proficiency
Qualifications
1. Bachelor’s degree in accounting, Finance, or a related field.
2. Professional certification, such as Certified Public Accountant (CPA), is advantageous.
3. Additional certifications or training in insurance accounting or healthcare finance are beneficial.
Relevant Experience
1 year underwriting exposure in insurance particularly medical and experience in reconciliation.