CARE ASSESSOR

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Job Summary

Category: Business Management Entry Experience: 4 years
Job Type: Full time Positions: 1
Min Qualification: Bachelor Salary: Undisclosed
Entry Level: Mid level Date Posted: Apr 24, 2023
Location: Nairobi Apply Before: May 6, 2023
Views: Days Remaining: 386 days elapsed

Brief About Employer

APA LIFE ASSURANCE COMPANY LIMITED

APA LIFE ASSURANCE COMPANY LIMITED

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).

Job Description

This position is responsible for managing the client’s benefits as per the policy and responding to clients queries through email/telephone.

KEY PRIMARY RESPONSIBILITIES

  • Reviewing and issuing pre-authorization.
  • Handling the 24-hour 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 the continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship.
  • Reporting adverse occurrences relating to clients’ management, and 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.

ACADEMIC QUALIFICATIONS

  • Bachelor’s degree/Diploma in relevant field

JOB SKILLS AND REQUIREMENTS

  • Team player with strong interpersonal and persuasive skills 
  • Good Communication and interpersonal skills
  • Good analytical skills and keenness to details
  • Excellent Negotiation skills
  • Effective decision maker

PROFESSIONAL QUALIFICATIONS

  • Any Relevant professional qualification

EXPERIENCE

  • At least 4 years of relevant experience 

How to Apply

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