Jubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa in 1937. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, general and Medical insurance.

Read more about this company

Case Manager, Active Case Management

Job TypeFull Time

QualificationBA/BSc/HND , Diploma , Professional Certificate

Experience2 years

LocationNairobi

Job FieldInsurance , Medical / Healthcare

Job Reference NumberJHIL100016

Qualifications:

• Bachelor's degree/Diploma in nursing or clinical medicine, or a related field.
• Professional Nursing qualification KRCHN licensed by Nursing council of Kenya.
• Relevant certifications in case management, healthcare management, or clinical specialtie Clinical knowledge and ability to interpret medical reports and treatment plans
• Ability to identify and mitigate fraud, waste, and abuse in claims
• Minimum of two (2) years of relevant experience in a similar or equivalent role within a medical insurance environment, with demonstrated expertise in inpatient care coordination, insurance benefit administration, policy interpretation, and pre-authorization processes. Experience in provider engagement will be an added advantage.

Discover more

Job Listings

Career development resources

education

Check how your CV aligns with this job

• Bachelor's degree/Diploma in nursing or clinical medicine, or a related field.
• Professional Nursing qualification KRCHN licensed by Nursing council of Kenya.
• Relevant certifications in case management, healthcare management, or clinical specialtie Clinical knowledge and ability to interpret medical reports and treatment plans
• Ability to identify and mitigate fraud, waste, and abuse in claims
• Minimum of two (2) years of relevant experience in a similar or equivalent role within a medical insurance environment, with demonstrated expertise in inpatient care coordination, insurance benefit administration, policy interpretation, and pre-authorization processes. Experience in provider engagement will be an added advantage.