Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
PERSONAL DETAILS
References
Timeline
Generic

JOYCE WANJIKU WAWERU

Nairobi

Summary

I am an underwriting professional with history of enhancing risk evaluation and streamlining underwriting procedures. Recognized for fostering team collaboration and driving results under changing market conditions. Equipped with skills in risk assessment, policy adherence, and adaptive problem-solving.

Overview

15
15
years of professional experience

Work History

UNDERWRITING MANAGER HEALTHCARE

MADISON GENERAL INSURANCE KENYA LIMITED
08.2024 - Current
  • Oversee the underwriting process flows to ensure efficiency
  • Oversee the business document management process to ensure proper storage and easy retrieval of underwriting documents
  • Prepare competitive quotations for both new and renewal businesses
  • Supervise, train and mentor underwriting and pricing staff to achieve a high level of motivation and productivity
  • Constant review of scheme loss ratios, identification of trends and provide proactive workable solutions to aid in controls to attain the targeted loss ratio for the business
  • Prepare regular underwriting and operations reports to management, intermediaries and clients and advice on relevant findings for medical risk review
  • Provide the necessary support to intermediaries by training them on the medical products and support on premium collection
  • Liaise with the underwriters, actuarial and business development teams to evaluate products being sold and assist in developing new ones
  • Supervise scheme setup to ensure timeliness and accuracy
  • Supervise to ensure prompt debiting and dispatch of debit/credit notes and the renewal/commencement premium schedules to the client/intermediary
  • Coordinate with outsourced card production vendors on preparation of medical cards for all eligible members in a timely manner
  • Review and signing-off of policy documents, dispatch of the same to the relevant clients and ensure follow-up to have copies returned
  • Supervise service levels and benchmark our customer service standards against the market
  • Maintaining strong working relationships with Intermediaries, Clients, all departments and all business stakeholders
  • Work closely with ICT and Business analysts for any decision making on implementation of system requirements and enforcement of controls
  • Comply with statutory, regulatory and internal control processes including internal & external audits recommendations

MANAGER, UNDERWRITING

JUBILEE HEALTH INSURANCE LIMITED
04.2024 - 08.2024
  • Contribute to the development and implementation of underwriting strategies aligned with the company's goals and market trends
  • Assist in evaluating the company's risk exposure and develop strategies to manage risk effectively, including identifying emerging risks and recommending appropriate risk mitigation measures
  • Conduct thorough analysis of insurance applications, assess risks, and determine appropriate coverage and premium rates
  • Ensure accurate and timely issuance of insurance policies, including reviewing policy documents and verifying compliance with underwriting guidelines
  • Adhere to regulatory requirements, internal policies, and industry standards to ensure compliance in underwriting processes and decision-making
  • Maintain confidentiality and security of customer data and ensure compliance with data protection regulations
  • Provide guidance, mentorship, and technical expertise to Senior underwriters, fostering a collaborative and supportive work environment
  • Foster effective collaboration and communication with internal stakeholders, such as agents, brokers, and other departments, to achieve common goals
  • Assist in the training and development of underwriting team members, sharing knowledge and best practices to enhance their skills


Assistant Manager, Underwriting

JUBILEE HEALTH INSURANCE LIMITED
04.2023 - 03.2024
  • Ensure the team attains the set TAT
  • Coordinating the preparation of medical cards, ensuring receipt of the same within the set TATs and the verification of the cards
  • To Liaising with our Quality Assurance team and the Claims team to give clarification on questionable claims
  • Ensure production of credit notes after 90 days of deletion and vetting them
  • Handling of queries on coverage and benefits from our internal staff, our clients, and the service providers
  • Preparation of reports for work done on a weekly, monthly, quarterly basis
  • Monitoring and carrying out performance reviews for my team on quarterly basis
  • Spear heading innovation activities and process improvement that relate to my team
  • Preparation of policy documents, Endorsement, contracts, service level agreements and Third-party agreements
  • Underwriting the international product
  • Gap and Risk Analysis of the Business processing Unit department
  • Achievements:
  • I have been part of the team that created dashboards and reports that help track TATs of each business process
  • This helps identify areas that need improvement or adjustment

Medical Claim Assessor

JUBILEE INSURANCE OF KENYA COMPANY LIMITED
10.2014 - 02.2016
  • Registration of claims into the system
  • Checking and confirming membership validity and benefits (from the scheme benefits file)
  • Handling of coverage enquiries from the brokers, service providers and clients
  • Vetting and confirming validity of the service given by the service provider in relation to the benefits covered, treatment given, adherence to provider panel rules and cost of treatment
  • Returning of claims that are inadequately documented and those that members were not on cover
  • Liaising with the underwriting section on scope of cover for various schemes
  • Advising the claims manager on any peculiarities noted in the claims provided for payment
  • Monitoring the benefit utilization by the different schemes

Broking Executive

CENTAUR INSURANCE BROKERS LIMITED
09.2012 - 04.2013
  • Preparation of the risk notes
  • Preparing of the renewal notices
  • Work on the general correspondence between the insured and the insurer
  • Responding to general customer service enquiries
  • Attend meetings, seminars and programs to learn about new products
  • Calculate premiums and establish the most favourable mode of payment according to the client
  • Arrange meetings with the clients to deliver, explain and analyse the policy documents
  • Select an insurance company that will be suitable for the client’s risk and price
  • Assist in reconciliation and collecting premium on behalf of the insurance companies

Group Life Assistant Underwriter

CIC INSURANCE GROUP LTD
10.2010 - 08.2011
  • Debiting accounts for clients under ME PIP, Loan guard, Employee Group Life, Group Funeral Expenses, Personal Loans and Micro insurance
  • Loading member schedules into the system
  • Preparation of the policy documents
  • Preparation of renewal notices for the customers
  • Responding to general customer service enquiries
  • Contract staff

Education

Diploma - Insurance (AIIK)

College of Insurance
01.2021

MBA - Strategic Management

The University of Nairobi
04.2025

CPA Part I - undefined

01.2013

BSc - Actuarial Science

Jomo Kenyatta University of Agriculture and Technology
01.2010

K.C.S.E - undefined

Tumu Tumu Girls High school
01.2005

Skills

  • Excellent interpersonal and communication skills
  • Excellent planning and organizing skills
  • Good negotiation skills and ability to work with minimum supervision
  • High degree of integrity, discretion and personal conduct
  • Flexible and adaptable to changing working conditions
  • Proficient in MS Office Applications
  • Good in data analysis
  • Commitment to both internal and external customers
  • Underwriting guidelines
  • Portfolio management

Accomplishments

Achievements at Jubilee Health Insurance Limited

• Won the 2023 certificate staff recognition award for Integrity.

• I have managed to streamline and shorten the turnaround timings in our deliverables to our clients.

• Part of the team that developed the underwriting document management system.

• Leading the automation of repetitive underwriting process.

• I am part of the team that creates more efficient business process workflow that helps improve customers experience through improved efficiency, quality, and accuracy.

• ISO 9001:2015 Lead Auditor and Secretary of the committee.


Achievements at Madison General Insurance Kenya Limited

• Managed to turn around the corporate public book from a loss-making book to break even.

• Assisted in the development of a new health system.

• Incorporated internal controls which has improved the performance of the book.

PERSONAL DETAILS

English and Kiswahili(fluent)

References

Referees will be provided on request.

Timeline

UNDERWRITING MANAGER HEALTHCARE

MADISON GENERAL INSURANCE KENYA LIMITED
08.2024 - Current

MANAGER, UNDERWRITING

JUBILEE HEALTH INSURANCE LIMITED
04.2024 - 08.2024

Assistant Manager, Underwriting

JUBILEE HEALTH INSURANCE LIMITED
04.2023 - 03.2024

Medical Claim Assessor

JUBILEE INSURANCE OF KENYA COMPANY LIMITED
10.2014 - 02.2016

Broking Executive

CENTAUR INSURANCE BROKERS LIMITED
09.2012 - 04.2013

Group Life Assistant Underwriter

CIC INSURANCE GROUP LTD
10.2010 - 08.2011

MBA - Strategic Management

The University of Nairobi

CPA Part I - undefined

BSc - Actuarial Science

Jomo Kenyatta University of Agriculture and Technology

K.C.S.E - undefined

Tumu Tumu Girls High school

Diploma - Insurance (AIIK)

College of Insurance
JOYCE WANJIKU WAWERU