Jobs

Care Officer at CIC Insurance

  • Job Type Full Time
  • Qualification Diploma
  • Experience 2 years
  • Location Nairobi
  • Job Field Customer Care&nbsp , Medical / Healthcare&nbsp

Care Officer at CIC Insurance

Care Officer

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.

Key Skills, Knowledge, Experience and Behavioural Competencies
Academic and Professional Requirements

  • Education    Diploma in Nursing or Clinical Medicine

 Experience Required:

  • Relevant experience in Care Management, medical claims and call centre    2years

Method of Application

Interested and qualified? Go to CIC Insurance on careers.cicinsurancegroup.com to apply

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