Job Ref. No: JHIL172

Role Purpose

• The primary purpose of the Care Navigator is to Navigate assigned members and schemes, providing professional guidance on policy matters where requested, ensuring quality and cost-effective service provision and communicating with providers, clients and brokers on a timely basis for any rejections or relevant concerns.

Key Responsibilities

Strategy

• Identify areas for improvement and propose strategies to enhance the program’s effectiveness.
• Stay informed about healthcare regulations and policies that may affect clients’ access to care.
• Provide input into the development of insurance policies that align with the company’s care navigation goals.
• Analyse data related to healthcare utilization, costs, and outcomes to identify trends and opportunities for improvement.
• Use data insights to inform strategic decisions and drive program enhancements

Operational

• Monitoring health seeking behaviours of assigned members/schemes and implementing appropriate measures to realize population health.
• Enrolment of scheme members into appropriate Wellness Programs
• Monitoring utilization of assigned members/schemes and implementing appropriate control measures
• Organizing and conducting health & member education sessions for assigned schemes.
• Obtaining daily reports of admissions for assigned members/schemes at the various service providers and organizing and/or visiting admitted members.
• Advising clients as necessary on their conditions and navigating members to appropriate service providers for required level of care.
• Ensuring that medical reports shared by the hospital are in line with actual management of the patient and ensuring proper care and treatment of patient within acceptable protocols
• Interacting with clients, brokers and clinicians as needed, to resolve problems in a manner that is legal, ethical and consistent with the principles of the policy.
• 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.

Corporate Governance

• Uphold high ethical standards in all interactions with clients, healthcare providers, and colleagues.
• Stay informed about healthcare laws and regulations, including those related to insurance and privacy.
• Ensure that all care navigation activities are compliant with these regulations.
• Maintain accurate and complete records of all client interactions and care plans.
• Be transparent with clients about the services offered, potential limitations, and any fees or charges associated with care navigation services.
• Safeguard the confidentiality of client information and adhere to strict privacy policies.
• Seek proper authorization before disclosing any client information.
• Identify potential risks associated with care navigation activities and work with relevant departments to mitigate those risks.

Key Skills and Competencies

• Healthcare Knowledge; A strong understanding of the healthcare system, including insurance plans, medical terminology, and healthcare policies and regulations.
• Communication Skills: Excellent verbal and written communication skills to effectively interact with clients, healthcare providers, and colleagues.
• Empathy and Compassion; The ability to empathize with clients’ health concerns and provide compassionate support during difficult times.
• Active Listening: The skill to actively listen to clients, understand their needs, and address their concerns effectively.
• Problem-Solving Skills: Strong problem-solving abilities to help clients overcome barriers to care and find solutions to complex healthcare challenges.
• Organization and Time Management; Efficiently manage caseloads, appointments, and care coordination tasks while maintaining attention to detail.
• Flexibility and Adaptability; Adapt to changing healthcare environments, policies, and client needs.
• Quality Improvement: A commitment to continuous quality improvement and a willingness to participate in initiatives aimed at enhancing care navigation services.

Academic Qualifications

• Degree/ Diploma holders in clinical studies.
• Basic understanding of the concepts of insurance
• Proficient in the use of Microsoft office suite and packages.

 Relevant Experience

• At least three (3) years’ relevant experience with two (2) years in a Clinical setting.

Job Ref. No. JLIL315

Role Purpose

The Security Analyst Intern, under the supervision of the SOC Team Lead, will support the Cyber Security team in implementing security strategies, assisting with Security Operations Center (SOC) activities, and contributing to compliance efforts. This role provides hands-on experience in a SOC environment while aligning with Jubilee Insurance’s People and Culture pillar to foster learning, collaboration, and inclusivity, promoting professional growth and a securityconscious culture.

Main Responsibilities

• Participate in security awareness initiatives that promote inclusivity and employee engagement, in line with People and Culture principles.
• Assist in monitoring and analysing security alerts, incidents, and events within the SOC under supervision.
• Support the delivery of security awareness training to employees, fostering a collaborative and security-conscious culture.
• Contribute to reviews of SOC processes, workflows, and tools to ensure alignment with industry best practices.
• Aid in incident response activities, including documentation and support for containment, eradication, and recovery efforts.
• Monitor security infrastructure and SIEM platforms with guidance to identify potential issues or gaps.
• Assist in conducting vulnerability scans across IT infrastructure and documenting findings.
• Support user provisioning, de-provisioning, and access reviews to maintain secure access controls.
• Help implement Role-Based Access Control (RBAC) and least privilege principles under supervision.
• Maintain comprehensive documentation, records, and reports on SOC activities, incident response procedures, and compliance efforts for internal and external stakeholders.
• Support internal teams with security-related guidance, promoting a culture of security awareness and compliance.

People and Culture Responsibilities

• Engage in an inclusive team environment, supporting Jubilee Insurance’s commitment to diversity, equity, and inclusion.
• Actively participate in professional development opportunities, including mentorship and training, to enhance skills and knowledge.
• Promote open communication and collaboration within the team, contributing to a positive and supportive work culture.
• Align with organizational values of integrity, respect, and innovation through active participation in team initiatives

Qualifications

• Bachelor’s Degree program in Computer Science, Information Technology, or a related field at a recognized university.
• Basic understanding of information security concepts (certifications such as Security+ or equivalent coursework preferred but not mandatory).
• Familiarity with networking concepts (e.g., coursework or certifications like CCNA beneficial but not required).
• Interest in IT service management (e.g., exposure to ITIL principles advantageous).
• Basic knowledge of cloud technologies (e.g., AWS, Azure) through coursework or self-study.

Relevant Experience

• Exposure to cybersecurity concepts through academic projects, coursework, or self-study.
• Basic familiarity with SIEM tools, intrusion detection systems, or security analytics platforms through labs or simulations.
• Interest in incident response and vulnerability management, demonstrated through relevant coursework or personal projects.
• Experience in team-based projects or internships that emphasize collaboration and learning.

Job Ref. No: JLIL 314

Role Purpose

The role holder will play a crucial role in ensuring the organization’s compliance with regulatory requirements, identifying risks, and enhancing operational efficiency. The role holder will be responsible for conducting comprehensive internal audits, evaluating controls, and providing recommendations to improve processes, mitigate risks, and enhance the overall effectiveness of the internal audit function.

Main Responsibilities
Strategy

• Strategic Decision Support. The role holder will provide valuable insights and data analysis to support strategic decision-making by management and other stakeholders. These insights contribute to informed choices that align with the organization’s strategic direction.
• Process Optimization. Through their in-depth understanding of various processes, the Senior Internal Auditor identifies opportunities for process optimization and efficiency improvements. These recommendations contribute to streamlining operations and supporting the organization’s strategic initiatives.
• Governance Enhancements. The Senior Internal Auditor assesses the effectiveness of corporate governance practices and provides insights to enhance governance structures. This helps in aligning the organization’s governance framework with its strategic objectives.
• Performance Evaluation. Through their evaluations, Senior Internal Auditors assess the performance of various departments and functions, providing feedback to management to support strategic performance management and improvement efforts.

Operational

• Plan and Execute Audits:
  • Develop risk-based audit plans and programs for Life Insurance operations.
  • Execute audits by conducting fieldwork, gathering and analyzing data, and documenting findings.
  • Evaluate the adequacy and effectiveness of internal controls and identify areas of improvement.
• Risk Assessment:
  • Identify potential risks in Life Insurance processes and operations.
  • Assess the impact of identified risks on the company’s financial health and compliance.
  • Recommend risk mitigation strategies to relevant stakeholders.
• Compliance and Regulatory Review:
  • Ensure compliance with relevant laws, regulations, and industry standards
  • Stay updated with changes in regulations that impact Life Insurance operations.
  • Advise management on compliance-related matters.
• Financial Reporting Analysis:
  • Review financial statements, budgets, and accounting records of Life Insurance operations.
  • Analyze financial data for accuracy and identify any discrepancies or irregularities.
• Process Improvement:
  • Suggest process improvements to enhance operational efficiency and reduce risks.
  • Assist in implementing recommendations and monitor their effectiveness.
• Internal Control Assessment:
  • Evaluate the adequacy and efficiency of internal control systems.
  • Recommend enhancements to strengthen controls and minimize risks.
• Audit Reporting:
  • Prepare clear and concise audit reports outlining findings and recommendations.
  • Present audit results to management and stakeholders effectively.
• Fraud Detection:
  • Work with the Internal Audit Manager to detect and prevent fraud within Life Insurance operations.
  • Coordinate with relevant parties to investigate and report on suspected fraudulent activities.

Corporate Governance

• Adhere to regulatory requirements and internal policies, ensuring compliance in all aspects of insurance servicing.
• Compliance: Stay updated with insurance regulations and best practices to ensure compliance with industry standards
• Adherence to the laws and regulations of Kenya, the policies and regulations within the insurance industry and all internal company policies and procedures.
• Ensuring compliance with applicable statutory and regulatory requirements and establishing mitigation measures against emerging business risks.

People & Culture

• Cross-Functional Collaboration. Actively participate in cross-functional project teams to drive collaboration, innovation, and accountability across departments and the Group.
• Employee Collaboration Index. Participate in a minimum of 2 company projects per year with an 80% success rate and engage in at least 1 Group-wide project per year.
• Skills and Competency Development Index. 100% compliance with your training plan annually to support personal and professional growth, ensuring alignment with career paths and future challenges.
• Cultural Alignment Index (CAI). Attain the Company’s CAI target score by embedding Jubilee’s values (e.g., innovation, teamwork, excellence) into project execution and team dynamics.
• Conflict Resolution. Address interpersonal or project-related conflicts constructively, maintaining team morale and focus on shared goals.
• Resource Advocacy. Communicate needs (e.g., tools, training, support) to supervisors to ensure personal and team success.

Key Competencies

• Analytical Thinking. The Senior Internal Auditor must possess strong analytical skills to assess complex data, identify patterns, and draw meaningful conclusions from the information gathered during audits.
• Communication and Presentation. Effective communication is crucial for articulating audit findings and recommendations to management and stakeholders in a clear and concise manner.
• Attention to Detail. A keen eye for detail is necessary to ensure accuracy in audits and to identify potential issues or discrepancies.
• Problem-Solving. The ability to identify problems, analyze root causes, and develop practical solutions is essential for addressing challenges encountered during audits.
• Independence and Integrity. Senior Internal Auditors must demonstrate independence in their judgment and remain objective and impartial throughout the auditing process.
• Collaboration. Working effectively within a team and engaging with various stakeholders is essential to obtain relevant information and ensure a collaborative approach to risk management.

Academic Background & Relevant Qualifications

• Bachelor’s degree in Business, Finance or any other related course
• CPA-K/ACCA Qualification
• Relevant audit-related certifications such as CIA, CISA and CFE will be an added advantage
• Minimum 4-5 years’ experience in a similar role in the Financial Sector, an Insurance Company or “Big 4”
• Good knowledge of life insurance products, processes, policies, and regulations
• Advanced skills in data analysis will be a plus

Job Ref. No: JHIL173

Role Purpose

• The role holder will play a key role in enhancing operational efficiency by supporting timely claims processing and provider reconciliation. This position offers valuable hands-on experience in medical insurance operations and exposure to significant initiatives which are integral to our broader digital transformation agenda.

Key Responsibilities

• Accurately input and update claims and provider data in internal systems.
• Assist in processing claims and provider account reconciliations.
• Verify data accuracy and escalate any discrepancies for resolution.
• Organize and digitize physical documents to support streamlined claims operations.
• Work closely with team members to improve turnaround times and operational workflows.

Key Competencies and Skills:

• High attention to detail and strong data accuracy skills.
• Good communication and interpersonal skills.
• Ability to multitask and manage priorities in a dynamic environment.
• Strong organizational and problem-solving skills.
• Proactive and eager to learn with a flexible mindset.

Qualifications

• A Bachelor’s degree or diploma in Health Records, Information Technology, Business Administration, or a related field.

Job Ref. No: JHIL164

Role Purpose

• The Senior Wellness Coordinator, Population Health will be responsible for designing, implementing, and evaluating population health programs and initiatives aimed at improving the health outcomes of our target populations.

Key Responsibilities

Strategy

• Design, monitor and report on the implementation of scheme-wise disease-specific interventions for communicable and non-communicable disease.
• Develop Monitoring population health profiles for all schemes and recommend appropriate control measures.
• Advise on population health initiatives and care delivery innovations to reduce cost and variations.
• Develop guidelines, tools, and indicators for effective disease surveillance at scheme level.
• Analyse, systematize, and disseminate wellness program-specific data to support development of Wellness Departmental reports.
• Support the wellness manager to develop, plan, and implement programs to support quality improvement strategies, disease management programs, population health initiatives, and care coordination through the continuum of care.
• Identify key cost-drivers and develop plans and strategies to inform care navigation.

Operational

• Assess and report on the impact of wellness technical activities and programs, within the context of wellness initiatives and active case management.
• Conduct, in collaboration with other team members, real-time analysis of disease trends based on claims data and advise on appropriate interventions.
• Liaise and collaborate with other relevant primary healthcare and other stakeholders in the public, non-government, and private sectors, as well as consumers, in relation to the coordination of care of clients and population health interventions.

Leadership & Culture

• Cultural Development: Foster a culture of empathy, excellence, and ethical conduct within the care navigation section.
• Quality Improvement: Drive continuous improvement initiatives to enhance the effectiveness of care navigation services and improve client outcomes.

Corporate Governance

• Uphold high ethical standards in all interactions with clients, healthcare providers, and colleagues.
• Stay informed about healthcare laws and regulations, including those related to insurance and privacy.
• Ensure that all care navigation activities are compliant with these regulations.
• Maintain accurate and complete records of all client interactions and care plans.
• Be transparent with clients about the services offered, potential limitations, and any fees or charges associated with care navigation services.
• Safeguard the confidentiality of client information and adhere to strict privacy policies.
• Seek proper authorization before disclosing any client information.
• Identify potential risks associated with care navigation activities and work with relevant departments to mitigate those risks.

Key Skills and Competencies

• Performance reporting and management
• Health Benefits Plan Management
• Intelligence and Business Development skills
• Policy Interpretation
• Customer Service
• Data Analysis and Assessment
• Community Engagement

Academic & Professional Qualifications

• Degree holders in Public Health
• Proficient in the use of the Microsoft Office suite and packages

Relevant Experience

• A minimum of two (2) years of relevant working experience. Ideal candidates should possess a strong understanding of Medical Insurance.