Job Details

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.

• 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.

• 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.