Background information about the job or company (e.g., role context, company overview),

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REF: 30

SENIOR PUBLIC SERVICE CONTRIBUTIONS OFFICER (1)

Lusaka

Accepting Applications

Department

Health Insurance Services(HIS)

Position Type

Permanent

Responsibilities or duties,

Principle Accountabilities for this role include, but not limited to the following:

1. Contributions Management (40% Weight)

• Ensure all employers are compliant with contributions in line with the NHI Act.
• Ensure timely payment of contributions by employers.
• Ensure all member accounts are updated with contributions and in active status.
• Take stock of all noncompliant employers and initiate inspections to establish outstanding debt.
• Where necessary trigger inspections in corroboration with the inspections team on the defaulting employers.
• Provide monthly contributions reports/trends to inform next course of actions
• Actively monitor compliance and ensure to stay within desirable rate.
• Act as primary operational contact for public sector employers on contribution matters
• Support audits, reporting, and compliance reviews related to contributions

2. Member & Employer Data Management (30% Weight)

• Ensure accurate classification of members and Employers in accordance with updated business rules and statutory requirements.
• Ensure accurate member personal data under the portfolio.
• Ensure all enrollment activities comply with set criteria and quality standards.
• Ensure timely and accurate updates of principal and beneficiary information in the system.
• Conduct periodic audits of registration (Current &Historical) records to confirm accuracy and completeness.

3. Member Guidance & Support (10% Weight)

• Provide guidance to principal members and beneficiaries regarding policy entitlements, benefit access, contribution requirements, and claims-related inquiries.
• Resolve escalated membership issues and ensure timely communication with members.
• Keep a record of recurring membership issues with a view of implementing a permanent solution.

4. Collaboration & Issue Resolution (10% Weight)

• Collaborate with Claims, Provider Relations, Finance, and Compliance units to resolve discrepancies affecting member service delivery.
• Participate in cross-functional committees or task forces addressing membership and data integrity.

5. Staff Management (Weight 10% Weight)

• Supervise officers under public sector portfolio and quality-check their work
• Overseeing staff daily operations and guide their performance
• Ensuring staff adherence to company policies and quality standards to ensure team productivity and development

Qualifications or requirements (e.g., education, skills),

Education Requirements

• Grade twelve (12) School certificate with 5 ‘O’ levels with credit or better including Mathematics and English Language (ZAQA Certified)
• 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 (ZAQA certified).

Required Skills

• 5years of experience in a similar role in an insurance or Social Security industry.
• Strong commercial acumen and operational experience with good understanding of current and emerging issues relevant to Health Insurance Industry.
• Refined understanding of Zambian Legal and Regulatory framework surrounding Health Insurance Services.
• Ability to positively influence Senior and Executive Management.
• Must have strong influencing and negotiation skills.
• Excellent knowledge of marketing and customer service.
• Must have good interpersonal skills.
• Good oral and written communication skills.
• Attention to detail and excellent analytical skills.
• Good appreciation of MS Office applications.

Experience needed,

5 years

Any other provided details (e.g., benefits, work environment, team info, or additional notes).

COUNTRY: Zambia

• Ensure all employers are compliant with contributions in line with the NHI Act.
• Ensure timely payment of contributions by employers.
• Ensure all member accounts are updated with contributions and in active status.
• Take stock of all noncompliant employers and initiate inspections to establish outstanding debt.
• Where necessary trigger inspections in corroboration with the inspections team on the defaulting employers.
• Provide monthly contributions reports/trends to inform next course of actions
• Actively monitor compliance and ensure to stay within desirable rate.
• Act as primary operational contact for public sector employers on contribution matters
• Support audits, reporting, and compliance reviews related to contributions
• Ensure accurate classification of members and Employers in accordance with updated business rules and statutory requirements.
• Ensure accurate member personal data under the portfolio.
• Ensure all enrollment activities comply with set criteria and quality standards.
• Ensure timely and accurate updates of principal and beneficiary information in the system.
• Conduct periodic audits of registration (Current &Historical) records to confirm accuracy and completeness.
• Provide guidance to principal members and beneficiaries regarding policy entitlements, benefit access, contribution requirements, and claims-related inquiries.
• Resolve escalated membership issues and ensure timely communication with members.
• Keep a record of recurring membership issues with a view of implementing a permanent solution.
• Collaborate with Claims, Provider Relations, Finance, and Compliance units to resolve discrepancies affecting member service delivery.
• Participate in cross-functional committees or task forces addressing membership and data integrity.
• Supervise officers under public sector portfolio and quality-check their work
• Overseeing staff daily operations and guide their performance
• Ensuring staff adherence to company policies and quality standards to ensure team productivity and development

• 5years of experience in a similar role in an insurance or Social Security industry.
• Strong commercial acumen and operational experience with good understanding of current and emerging issues relevant to Health Insurance Industry.
• Refined understanding of Zambian Legal and Regulatory framework surrounding Health Insurance Services.
• Ability to positively influence Senior and Executive Management.
• Must have strong influencing and negotiation skills.
• Excellent knowledge of marketing and customer service.
• Must have good interpersonal skills.
• Good oral and written communication skills.
• Attention to detail and excellent analytical skills.
• Good appreciation of MS Office applications.

• Grade twelve (12) School certificate with 5 ‘O’ levels with credit or better including Mathematics and English Language (ZAQA Certified)
• 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 (ZAQA certified).