Unit Head, USP Claims Management

Job Description

The USP Head of Unit is responsible for leading, managing, and developing the USP Unit to ensure effective delivery of strategic objectives, operational excellence, and compliance with organizational policies and applicable regulations. The role provides strategic direction, oversees day-to-day operations, and acts as the primary point of accountability for performance, quality, and stakeholder engagement.

Responsibilities

• Provide overall leadership and strategic direction for the USP Unit, aligning unit objectives with organizational strategy.
• Plan, organize, and oversee all unit activities to ensure timely, high-quality delivery of outputs.
• Perform review and checking of USP receivables movements on a monthly basis.
• Perform review of reconciliation between USP receivables and claims submitted to MCMC.
• Act as the key Person-in-Charge (PIC) for the yearly SOIE submission, working closely with Accounting team, USP Management team, Azamas, and external auditors.
• Conduct review and verification to ensure claim and submission amounts prepared by the USP Claims team and Azamas are accurate prior to submission to MCMC.
• Manage yearly audit submissions with external auditors, including PO issuance, provision of required information and documentation, coordination of audit schedules, and resolution of audit findings or issues.
• Manage and respond to audit enquiries from MCMC, internal auditors, and external auditors related to USP claims submissions and discrepancy issues, including providing evidence and resolving disputes.
• Support Azamas on documentation matters arising from system access and security restrictions that limit external vendor access.
• Engage and collaborate with internal and external stakeholders to resolve issues arising from USP claims processes and claim rejections by MCMC.
• Ensure compliance with applicable regulations, policies, and control frameworks, including FLOA, ICFR, and internal and external audit requirements.
• Develop and implement policies, procedures, and work plans to improve efficiency, effectiveness, and compliance.
• Lead, coach, and develop team members; set performance objectives, conduct evaluations, and build a high-performing team culture.
• Contribute to USP related projects including process optimization, automation, and system enhancements.
• Act as the USP Claims Management subject matter expert (SME) for cross-functional and finance transformation initiatives.

Requirements

Qualifications & Experience

• Bachelor’s degree in Accounting, Finance, Business, or a related field.
• 5-8 years’ experience in Accounts Receivable or Accounts Payable or Reporting, with prior team leadership or supervisory experience.
• Demonstrated experience in unit management and performance management.
• Understanding of governance, compliance, and quality management principles relevant to the USP function will added advantage.

Skills & Competencies

• Strong people leadership and stakeholder management skills.
• Excellent communication, negotiation, and problem-solving abilities.
• Results-driven mindset.
• Strong analytical skills and attention to detail.
• Proficiency in Microsoft Excel and financial reporting tools.
• Ability to manage priorities in a fast-paced, deadline-driven environment.