Background information about the job or company (e.g., role context, company overview)

Apollo Group (Apollo Investments Limited)was an idea born from the need to harness synergies across the insurance business. Built on commitment, integrity and innovation, it has risen to be one of the leading financial groups in East Africa. Apollo Investments Limited (AIL) includes APA Insurance (Kenya and Uganda). It underwrites General Insurance risks ...

Responsibilities or duties

KEY PRIMARY RESPONSIBILITIES

• Reviewing and issuing pre-authorization;
• Handling the 24hour call center (cell phones /office lines) and responding to clients queries as they arise;
• Interacting with clients, brokers, clinicians, APA relationship officers and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy;
• Conducting hospital visits to assess patient’s care throughout continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship;
• Reporting adverse occurrences relating to clients’ management, policy with appropriate action to ensure compliance with quality patient care;
• Coordinating step down management and referrals for all clients with chronic diseases;
• Participating in health talks/wellness camps and service meetings;
• Participating in company CSR and brand building activities in liaison with other departments.

Qualifications or requirements (e.g., education, skills)

ACADEMIC QUALIFICATIONS

• Bachelor’s degree in relevant degree

JOB SKILLS AND REQUIREMENTS

• Leadership skills
• Interpersonal and Communication skills
• Analytical skills

PROFESSIONAL QUALIFICATIONS

• Relevant professional qualification

Experience needed

EXPERIENCE

• At least 4 years’ relevant experience

• Reviewing and issuing pre-authorization;
• Handling the 24hour call center (cell phones /office lines) and responding to clients queries as they arise;
• Interacting with clients, brokers, clinicians, APA relationship officers and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy;
• Conducting hospital visits to assess patient’s care throughout continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship;
• Reporting adverse occurrences relating to clients’ management, policy with appropriate action to ensure compliance with quality patient care;
• Coordinating step down management and referrals for all clients with chronic diseases;
• Participating in health talks/wellness camps and service meetings;
• Participating in company CSR and brand building activities in liaison with other departments.

• Leadership skills
• Interpersonal and Communication skills
• Analytical skills

• Bachelor’s degree in relevant degree
• Relevant professional qualification