Submit Cvs – New Recruitment At Apa Life Assurance Company Ltd

KEY PRIMARY RESPONSIBILITIES
Secure new health business directly and through intermediaries as per set targets
Addressing enquiries and feedback from clients within the timelines stipulated in the service charter and/or SLAs signed with respective clients
Observing strict adherence to cash and carry rule and/or company credit control policy and escalating exceptions;
Timely submission of quotations and tenders
Complying with statutory, regulatory and internal control processes at the business units
Risk acceptance as per the set guidelines
Prepare weekly sales reports as required against the projected target
Familiarize with the current market conditions and trends
Advise cover terms to underwriting to enable timely and proper underwriting, set up and claims processing
Maintain excellent customer service with intermediaries and clients
Cross-selling & upselling responsibility

ACADEMIC QUALIFICATIONS
Bachelor's degree in Actuarial Science or an equivalent.

JOB SKILLS AND REQUIREMENTS
Teamwork skills
Interpersonal and Communication skills
Analytical skills
Excellent sales and marketing skills
Knowledge of health insurance products, concepts and procedures

PROFESSIONAL QUALIFICATIONS
Progress towards Diploma in Insurance ACII/ Diploma in Insurance

EXPERIENCE
At least 5 years relevant experience
KEY PRIMARY RESPONSIBILITIES
Reviewing and issuingpre authorization;
Handling the 24hour call center (cell phones /office lines) and responding to clients queries as they arise;
Interacting with clients, brokers, clinicians, APA relationship officers and schemes HR's as required to resolve problems/update progress in a manner consistent with the principles of the policy;
Conducting hospital visits to assess patient's care throughout continuum of care for diagnosis/procedures as well as maintaining the client's /provider relationship;
Reporting adverse occurrences relating to clients management, policy with appropriate action to ensure compliance with quality patient care;
Coordinating step down management and referrals for all clients with chronic diseases;
Participating in health talks/wellness camps and service meetings;
Participating in company CSR and brand building activities in liaison with other departments.

ACADEMIC QUALIFICATIONS
Bachelor's degree in relevant degree

JOB SKILLS AND REQUIREMENTS
Leadership skills
Interpersonal and Communication skills
Analytical skills

PROFESSIONAL QUALIFICATIONS
Relevant professional qualification

EXPERIENCE
At least 4 years relevant experience
KEY PRIMARY RESPONSIBILITIES
Reviewing and issuing pre-authorization;
Handling the 24-hour call centre (cell phones /office lines) and responding to clients' queries as they arise;
Interacting with clients, brokers, clinicians, APA relationship officers, and schemes HR's as required to resolve problems/update progress in a manner consistent with the principles of the policy;
Conducting hospital visits to assess patient's care throughout the continuum of care for diagnosis/procedures as well as maintaining the client's /provider relationship;
Reporting adverse occurrences relating to clients' management, and policy with appropriate action to ensure compliance with quality patient care;
Coordinating step-down management and referrals for all clients with chronic diseases;
Participating in health talks/wellness camps and service meetings;
Participating in company CSR and brand-building activities in liaison with other departments.

ACADEMIC QUALIFICATIONS
Bachelor's degree in relevant degree

JOB SKILLS AND REQUIREMENTS
Leadership skills
Interpersonal and Communication skills
Analytical skills

PROFESSIONAL QUALIFICATIONS
Relevant professional qualification

EXPERIENCE
At least 2 years relevant experience
KEY PRIMARY RESPONSIBILITIES
Support and coordinate the chronic disease management program model of care.
Supporting APA Insurance staff and clients by coordinating wellness initiatives, health talks, e-shots and webinars
Post-discharge follow-up for hospitalized/chronic disease patients and coordinating home-based care and enrolment into the program.
Facilitate a database of statistics and analytics for tracking progress and efficacy of treatments and chronic disease program outcomes.
Liaise with stakeholders in the coordination of care of clients with chronic diseases and cost management.
Improve business retention by engaging & communicating disease awareness, health conferences and wellness initiatives.
Support initiatives in the wellness loyalty programs like gyms.
Analyse ailment reports for loss-making schemes and offer disease prevention interventions.
Working with the Corporate Communication Department/IT team to support the online platforms for wellness initiatives.
Supporting and interacting with clients, brokers and providers as needed, to resolve problems in a manner that is legal, ethical, and consistent with the principles of the policy.
Participate in member education and training to clients on the various programs in the business.
Administration and management of the wellness department and lead wellness team meetings.
Facilitate integration of preventive and promotive services into healthcare provision.
Any other duties assigned by management.

ACADEMIC QUALIFICATIONS
Degree or Diploma in Clinical Studies (Nursing/Clinical Medicine) or any other related degree.

JOB SKILLS AND REQUIREMENTS
Visionary Leadership
Entrepreneurial Spirit
Market Awareness
Customer Focus
Effective communication
Continuous Innovation
Ownership & Commitment
Team Spirit

PROFESSIONAL QUALIFICATIONS
A course in Health Education will be an added advantage.
Basic Understanding of the Concepts of Insurance.
Proficient in the use of Microsoft Office Suite and Packages.

EXPERIENCE
At least 3 years' relevant experience in a similar role.