Vacancy title:
Care Officer

[Type: FULL_TIME, Industry: Insurance, Category: Customer Service]

Jobs at:
CIC Insurance

Deadline of this Job:
Saturday, July 5 2025

Duty Station:
Kenya | Nairobi | Kenya

Summary
Date Posted: Thursday, June 26 2025, Base Salary: Not Disclosed

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JOB DETAILS:

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

Work Hours: 8

Experience in Months: 24

Level of Education: bachelor degree

Job application procedure

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

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