29 Dec 2023

Care Officer – Medical at CIC Insurance

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Job Description

CIC Insurance Group Limited, commonly referred to as CIC Group, is an insurance and investment group that operates mainly in Kenya, Uganda, South Sudan and Malawi

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




Method of Application

Submit your CV and Application on Company Website : Click Here

Closing Date : 8 January. 2024





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