CIC Insurance Care Officer – Medical Jobs in Kenya

CIC Insurance Care Officer – Medical Jobs in Kenya

Purpose:

Responsible for care facilitation/cost containment and call centre reachability.

Primary Responsibilities:

Issuance of approval to insured members seeking both inpatient and outpatient care as per policy guidelines.

Monitor cost, average length of stay on inpatient cases.

Issue guidance on Pre-authorized optical, dental and scheduled procedures

Conduct Hospital visits whenever the insured members are hospitalized

Respond to stakeholder inquiries on cases involving medical care management.

Receive and respond to Medical emergency lines and ensure 24-hour coverage

Negotiate for discounts from doctors and hospitals on specific cases and procedures from time to time

Facilitate referrals and medical evacuations when need be.

Monitor benefits utilization and share timely updates to the stakeholders.

Prepare and share timely reports as may be guided.

Academic and Professional Requirements

Education

Diploma in Nursing or Clinical Medicine

Computer literate in MS Office and other office applications

Experience Required:

Relevant experience in Care Management, medical claims and call centre

How to Apply

For more information and job application details, see; CIC Insurance Care Officer – Medical Jobs in Kenya

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