Senior Case Manager – Call Centre (First Assurance Kenya)
2026-05-21T09:06:46+00:00
Absa Bank Kenya
https://cdn.greatkenyanjobs.com/jsjobsdata/data/employer/comp_10391/logo/absa.jpeg
https://www.absabank.co.ke/personal/
FULL_TIME
Nairobi
Nairobi
00100
Kenya
Information Technology
Customer Service, Business Operations, Healthcare
2026-05-27T17:00:00+00:00
8
Background
Absa Bank Limited (Absa) is a wholly owned subsidiary of Barclays Africa Group Limited. Absa offers personal and business banking, credit cards, corporate and investment banking, wealth and investment management as well as bancassurance.
Job Summary
To provide efficient and effective customer service to customers with utmost level of consistency and quality, ensure customer excellence and facilitate access to quality, safe, effective and cost-efficient care for insured clients. Respond to customer enquiries and address issues regarding products or services at the 24-hour contact centre.
Responsibilities
- Immediate management of inbound and outbound calls in line with contact center call guidelines/etiquette and provide solutions to customers in a professional way within the stipulated TATs.
- Guide the insured Members about their benefits management, the appropriate service providers and other related member benefit matters.
- Problem-Solving and Decision-Making: addressing complex customer issues and providing accurate information to ensure customer satisfaction.
- Technical or Customer-Facing Responsibilities: Handling technical aspects of customer interactions, utilizing CRM system and ensuring a seamless customer experience.
- Attend to client’s enquiries i.e., answering calls, responding to emails from customers, regarding membership eligibility, coverage, approval status, benefit information and case approvals and/or denials
- Ensure medical pre-authorizations/undertakings/ approvals /declines are issued in compliance with the policy provisions, authority limits and TATs
- Receive customer complaints or queries and document the same.
- Follow through and resolve escalated customers and provider queries and complaints in time and advise them on outcome and the details of the medical product.
- Escalate unresolved cases and follow through for their resolution and ensure customer satisfaction.
- Perform outbound calls and follow up post hospitalization clients for service feedback and enrollment to the chronic disease management program (CDMP).
- Advise members on how best to utilize their benefits by recommending cost effective facilities and cheaper options e.g., maternity packages, chronic management.
- Negotiate rates and ensure recoveries from third parties like Social Health Authority are affected.
- Scheduling the call center staff for 24-hour coverage based on rotation, hours worked and workload distribution.
- Continuous identification of service gaps and implementation of corrective measures.
- Observe confidentiality of client information and compliance with the Data Protection Act.
- Handle any other official tasks assigned by the line manager.
Knowledge Management
- Improve technical knowledge through self-learning or training including mandatory Continuous Professional Education requirements.
- Share knowledge with colleagues and peers in the business.
- Develop and enhance learning through seeking coaching, training and continual feedback
Reporting
- Sending daily admissions reports to clients; Brokers/Agents/ company Human resource managers.
- Prepare and compile section reports on daily, weekly and monthly basis and forwards to the management.
Relationship management
- Develop and maintain relationships with colleagues and clients; Brokers/Agents/ company Human resource managers.
Qualifications/Requirements
- Technical Skills: Proficiency in CRM software, Microsoft Office Suite
- Education: Bachelor’s Degree/Diploma in Nursing (KRCHN)/ Clinical Medicine/ Health Management or in a related field with up-to-date license.
- Experience: Minimum 2 years of clinical experience and 3 years case management experience
- Soft Skills: Excellent communication skills, empathy, negotiations, collaboration, problem-solving abilities, adaptability and a customer-centric approach.
- Industry Knowledge: Understanding of insurance policies, regulations, compliance and standards.
- Licensed by relevant statutory regulator in his/her respective medical field.
* Immediate management of inbound and outbound calls in line with contact center call guidelines/etiquette and provide solutions to customers in a professional way within the stipulated TATs. * Guide the insured Members about their benefits management, the appropriate service providers and other related member benefit matters. * Problem-Solving and Decision-Making: addressing complex customer issues and providing accurate information to ensure customer satisfaction. * Technical or Customer-Facing Responsibilities: Handling technical aspects of customer interactions, utilizing CRM system and ensuring a seamless customer experience. * Attend to client’s enquiries i.e., answering calls, responding to emails from customers, regarding membership eligibility, coverage, approval status, benefit information and case approvals and/or denials * Ensure medical pre-authorizations/undertakings/ approvals /declines are issued in compliance with the policy provisions, authority limits and TATs * Receive customer complaints or queries and document the same. * Follow through and resolve escalated customers and provider queries and complaints in time and advise them on outcome and the details of the medical product. * Escalate unresolved cases and follow through for their resolution and ensure customer satisfaction. * Perform outbound calls and follow up post hospitalization clients for service feedback and enrollment to the chronic disease management program (CDMP). * Advise members on how best to utilize their benefits by recommending cost effective facilities and cheaper options e.g., maternity packages, chronic management. * Negotiate rates and ensure recoveries from third parties like Social Health Authority are affected. * Scheduling the call center staff for 24-hour coverage based on rotation, hours worked and workload distribution. * Continuous identification of service gaps and implementation of corrective measures. * Observe confidentiality of client information and compliance with the Data Protection Act. * Handle any other official tasks assigned by the line manager.
* Proficiency in CRM software * Microsoft Office Suite * Excellent communication skills * Empathy * Negotiations * Collaboration * Problem-solving abilities * Adaptability * Customer-centric approach
* Bachelor’s Degree/Diploma in Nursing (KRCHN)/ Clinical Medicine/ Health Management or in a related field with up-to-date license. * Minimum 2 years of clinical experience * 3 years case management experience * Licensed by relevant statutory regulator in his/her respective medical field. * Further Education and Training Certificate (FETC): Business, Commerce and Management Studies (Required)
JOB-6a0ecb263dc68
Vacancy title:
Senior Case Manager – Call Centre (First Assurance Kenya)
[Type: FULL_TIME, Industry: Information Technology, Category: Customer Service, Business Operations, Healthcare]
Jobs at:
Absa Bank Kenya
Deadline of this Job:
Wednesday, May 27 2026
Duty Station:
Nairobi | Nairobi
Summary
Date Posted: Thursday, May 21 2026, Base Salary: Not Disclosed
Similar Jobs in Kenya
Learn more about Absa Bank Kenya
Absa Bank Kenya jobs in Kenya
JOB DETAILS:
Background
Absa Bank Limited (Absa) is a wholly owned subsidiary of Barclays Africa Group Limited. Absa offers personal and business banking, credit cards, corporate and investment banking, wealth and investment management as well as bancassurance.
Job Summary
To provide efficient and effective customer service to customers with utmost level of consistency and quality, ensure customer excellence and facilitate access to quality, safe, effective and cost-efficient care for insured clients. Respond to customer enquiries and address issues regarding products or services at the 24-hour contact centre.
Responsibilities
- Immediate management of inbound and outbound calls in line with contact center call guidelines/etiquette and provide solutions to customers in a professional way within the stipulated TATs.
- Guide the insured Members about their benefits management, the appropriate service providers and other related member benefit matters.
- Problem-Solving and Decision-Making: addressing complex customer issues and providing accurate information to ensure customer satisfaction.
- Technical or Customer-Facing Responsibilities: Handling technical aspects of customer interactions, utilizing CRM system and ensuring a seamless customer experience.
- Attend to client’s enquiries i.e., answering calls, responding to emails from customers, regarding membership eligibility, coverage, approval status, benefit information and case approvals and/or denials
- Ensure medical pre-authorizations/undertakings/ approvals /declines are issued in compliance with the policy provisions, authority limits and TATs
- Receive customer complaints or queries and document the same.
- Follow through and resolve escalated customers and provider queries and complaints in time and advise them on outcome and the details of the medical product.
- Escalate unresolved cases and follow through for their resolution and ensure customer satisfaction.
- Perform outbound calls and follow up post hospitalization clients for service feedback and enrollment to the chronic disease management program (CDMP).
- Advise members on how best to utilize their benefits by recommending cost effective facilities and cheaper options e.g., maternity packages, chronic management.
- Negotiate rates and ensure recoveries from third parties like Social Health Authority are affected.
- Scheduling the call center staff for 24-hour coverage based on rotation, hours worked and workload distribution.
- Continuous identification of service gaps and implementation of corrective measures.
- Observe confidentiality of client information and compliance with the Data Protection Act.
- Handle any other official tasks assigned by the line manager.
Knowledge Management
- Improve technical knowledge through self-learning or training including mandatory Continuous Professional Education requirements.
- Share knowledge with colleagues and peers in the business.
- Develop and enhance learning through seeking coaching, training and continual feedback
Reporting
- Sending daily admissions reports to clients; Brokers/Agents/ company Human resource managers.
- Prepare and compile section reports on daily, weekly and monthly basis and forwards to the management.
Relationship management
- Develop and maintain relationships with colleagues and clients; Brokers/Agents/ company Human resource managers.
Qualifications/Requirements
- Technical Skills: Proficiency in CRM software, Microsoft Office Suite
- Education: Bachelor’s Degree/Diploma in Nursing (KRCHN)/ Clinical Medicine/ Health Management or in a related field with up-to-date license.
- Experience: Minimum 2 years of clinical experience and 3 years case management experience
- Soft Skills: Excellent communication skills, empathy, negotiations, collaboration, problem-solving abilities, adaptability and a customer-centric approach.
- Industry Knowledge: Understanding of insurance policies, regulations, compliance and standards.
- Licensed by relevant statutory regulator in his/her respective medical field.
Work Hours: 8
Experience in Months: 12
Level of Education: bachelor degree
Job application procedure
Never pay for any notarisation, certificate or assessment as part of any recruitment process. When in doubt, contact us
Click Here to Apply Now
All Jobs | QUICK ALERT SUBSCRIPTION
