Care Assessor
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Industry Insurance Founded 2003 Type Public Website http://www.apainsurance.org/ Address Apollo Centre, Westlands Nairobi
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KEY PRIMARY RESPONSIBILITIES
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.
Academic Qualifications
- Bachelor’s degree in relevant degree
Skills and Attributes
- Leadership skills
- Interpersonal and Communication skills
- Analytical skills
Professional Qualifications
- Relevant professional qualification
Experience
- At least 4 years’ relevant experience