Reconciliation Manager

Job Purpose

To lead and oversee reconciliation and settlement processes with insurance companies, ensuring accurate account matching, timely closure of claims, and compliance with financial policies to support the organizations and financial integrity.

Roles and Responsibilities

Organizational Accountabilities

• Ensure alignment of reconciliation activities with the organization's strategic and financial objectives. Comply with internal policies, procedures, and regulatory requirements. Collaborate with cross-functional teams (Finance, Claims, Branches, etc.) to support organizational goals. Support financial governance and control frameworks across reconciliation processes. Contribute to operational efficiency and continuous improvement initiatives. Enhance transparency and accuracy in financial reporting to management. Support risk management by identifying and mitigating financial and operational risks. Maintain strong relationships with insurance companies to support overall business performance.

Functional Accountabilities

Lead and manage the reconciliation team, including task allocation and performance monitoring.

Oversee account reconciliation processes with insurance companies.

Review and approve account statements before submission to insurers.

Manage periodic closing activities (monthly, quarterly, annual).

Coordinate with finance teams across branches to ensure data Functional Accountabilities: accuracу.

Analyse rejection causes and implement corrective actions with relevant departments.

Review settlements received from insurance companies before escalation/authorization.

Prepare and present periodic reconciliation reports to management.

Enhance reconciliation processes to improve efficiency and reduce closing cycle time

Key Contacts

Key Internal Stakeholders

• Executive Management all branches
• Finance Department all branches
• IT Management Claims
• all relevant departments involved in reconciliation processes and rejection

Key External Stakeholders

• Insurance Companies, Regulatory Bodies (e.g., Nphies)

Job Qualifications and Requirements

Knowledge and Experience

• 1-5 years of experience in finance or healthcare insurance At least 2-3 years in a supervisory or managerial role Strong financial analysis and reconciliation skills Solid understanding of healthcare insurance systems (e.g., Nphies) Leadership and team management abilities Excellent communication and negotiation skills Problem-solving and decision-making capabilities High attention to detail and accuracy

Education and Certifications

• Bachelor's degree in Accounting, Finance, or a related field

Skills:

financial analysis and reconciliation skills Skills Understanding of healthcare insurance systems (e.g., Nphies) Leadership and team management abilities Excellent communication and negotiation skills Problem-solving and decision-making capabilities Attitude Competency Conditions High attention to detail and accuracy

Attitude:

Positive attitude. Work ethics. Honesty and integrity. Self-motivation. Learning and growth. Confidence.

Competency:

Confidentiality. Dependability and responsibility. Adaptability. Time Management. Prioritization. Communication. Collaboration. Market knowledge. Analysis. Compliance.