Care Manager (Contract) - Call Centre FAK job at Absa Bank Limited
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282 Days Ago
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Vacancy title:
Care Manager (Contract) - Call Centre FAK

[ Type: FULL TIME , Industry: Banking , Category: Healthcare ]

Jobs at:

Absa Bank Limited

Deadline of this Job:
Wednesday, June 07 2023 

Duty Station:
Within Kenya , Nairobi, East Africa

Date Posted: Friday, May 26 2023, Base Salary: Not Disclosed

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Job Summary
• Case management, handling all outpatient, inpatient, specialized services preauthorization, and
• Communicating with providers, clients, and brokers on a timely basis.

Job Description
• Efficient & accurate submission of approvals in line with the medical policy.
• Obtaining medical information from providers with written correspondence if necessary.
• Capacity to continually apply negotiation skills with the service providers.
• Interacting with clients, Intermediaries and services providers as required to resolve problems in a manner that is legal, ethical, and consistent with the principles of the policy.
• Accurate checking and confirming membership validity, benefits and sending member statement upon enquiry.
• Accurate guidance on provider network enquiries from brokers, providers, members etc.
• Vetting and confirming validity of the service given by the service provider in relation to the member benefit covered, treatment given, adherence to provider panel rules and cost of treatment.

Relevant Experience & Qualification
• Bachelor’s degree/Diploma in nursing or other related medical field
• At least one (1) years' experience in a similar role in the insurance industry / hospital facility
• KRCHN Registration

•Further Education and Training Certificate (FETC): Business, Commerce and Management Studies (Required)

Work Hours: 8

Experience in Months: 12

Level of Education:
Bachelor Degree

Job application procedure
Interested and qualified? Go to Absa Bank Limited on to apply

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Job Info
Job Category: Accounting/ Finance jobs in Kenya
Job Type: Full-time
Deadline of this Job: Wednesday, June 07 2023 
Duty Station: Nairobi
Posted: 26-05-2023
No of Jobs: 1
Start Publishing: 26-05-2023
Stop Publishing (Put date of 2030): 26-05-2065
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