Care Manager- FAK

1 month ago


Nairobi, Kenya Absa Bank Limited Full time

Absa Bank Limited (Absa) is a wholly owned subsidiary of Barclays Africa Group Limited. Absa offers personal and business banking, credit cards, corporate and investment banking, wealth and investment management as well as bancassurance.
Job Summary
To perform all the case management roles both at the contact centre and back office, which includes but not limited to:
Responsibilities

Sensitise and Provide information to clients about their policy guidelines.
Continuously advise clients about the most cost-effective service options to Clients/Brokers/Agents/ company Human resource managers.
Facilitate for member sensitization and registration.
Organize for hospital transfers and evacuations in reference to their policies.
Calls managements in line with the international call centre standards.
Organise and participate in Carrying out health forums for clients.
Professional Handling of clients and service providers grievances within the stipulated time.
Managing requests for services from providers, intermediaries, and clients, providing information on the FAK provider network, available benefits per scheme policy and services and other routine information
Respond to all emails and give feedback within one 30 minutes of receiving them.
Critically analyse and give accurate response to all pre-authorization within the defined TATs and in line with member policy benefits.
The care manager to accurately to decode prescriptions and other bills to identify any anomalies.
Negotiate with service providers for sustainable costs containment.
Mitigate fraud cases through hospitals visitation of admitted patients in various hospitals, and vet all inpatient bills.
Ensure the service access turnaround time is within the stipulated Service Level agreement, Discharges within 30 minutes, outpatient responses within 10 minutes.
Sending daily admissions reports to clients; Brokers/Agents/ company Human resource managers.
Offer first aid to any emergency cases within/around First Assurance Office.
Response to all escalations from the contact centre, carrying out customer surveys, social media and email management.
Performs all other tasks as assigned by the Line manager.

Education Qualifications & Experience

Bachelor’s degree or Diploma in nursing or clinical Medicine and Surgery
Insurance Professional qualification
Minimum of 3 - 4 years’ experience in a similar role in the insurance industry.


  • Case Manager

    3 weeks ago


    Nairobi, Kenya Absa Bank Limited Full time

    Absa Bank Limited (Absa) is a wholly owned subsidiary of Barclays Africa Group Limited. Absa offers personal and business banking, credit cards, corporate and investment banking, wealth and investment management as well as bancassurance. Job Summary To guide customers with their questions and addresses issues regarding products or services at the 24-hour...


  • Nairobi, Kenya CARE Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects. JOB SUMMARY: The Senior Global Change Manager will lead change management for a Job Architecture (JA) project, which is one of CARE’s Global Priority Initiatives. Through the implementation of Job Architecture, this...

  • Regional Change

    3 weeks ago


    Nairobi, Kenya CARE Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects. Job Summary The Regional Change & Deployment Manager for East & Central Africa (ECA) and Southern Africa (SA) Regions is a role sitting within the Transformation team at CARE USA that has been created to deliver a number of...


  • Nairobi, Kenya CARE Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects. SUMMARY The Regional Humanitarian Advocacy Advisor will support CARE East and Central Africa (ECA) regional office efforts to influence donors, UN agencies, partners and governments on the humanitarian crises in the region....


  • Nairobi, Kenya CARE Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects. Summary The ideal candidate will understand the fundamentals of building and delivering advocacy strategy and implementation plan, can contribute to building this capacity with colleagues throughout the region; with experience...


  • Nairobi, Kenya CARE Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects. Summary The Technical Advisor, Economic Analysis, WEJ, will further our measurement and strategy through economic analysis, analyzing programmatic and cost data to identify and scale the most promising interventions for...


  • Nairobi, Kenya CARE Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects. Summary We are seeking a highly organized and versatile individual to join our team. As a Program Support Specialist, you will play a key role in supporting various aspects of our organization, including procurement, finance,...


  • Nairobi, Kenya CARE International Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects. SUMMARY The Project Coordinator will directly oversee the day-to-day implementation of Danida Market Development Partnership (DMDP) Project activities, support in budget tracking, partnership management, knowledge management,...


  • Nairobi, Nairobi Area, Kenya CARE Full time

    JOB SUMMARYUnder the guidance and supervision of the Country Director, the Human Resources Manager is responsible for the formulation and transparent implementation of HR strategies and the effective delivery of HR services. He/she will assess client needs, interpret, and apply HR strategy and policies, rules, and regulations, establish internal procedures...


  • Nairobi, Kenya CARE Full time

    JOB SUMMARYUnder the guidance and supervision of the Country Director, the Human Resources Manager is responsible for the formulation and transparent implementation of HR strategies and the effective delivery of HR services. He/she will assess client needs, interpret, and apply HR strategy and policies, rules, and regulations, establish internal procedures...

  • Case Manager

    3 weeks ago


    Nairobi, Nairobi Area, Kenya Absa Bank Limited Full time

    Absa Bank Limited (Absa) is a wholly owned subsidiary of Barclays Africa Group Limited. Absa offers personal and business banking, credit cards, corporate and investment banking, wealth and investment management as well as bancassurance.Job SummaryTo guide customers with their questions and addresses issues regarding products or services at the 24-hour...


  • Nairobi, Nairobi Area, Kenya CARE Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects.JOB SUMMARY:The Senior Global Change Manager will lead change management for a Job Architecture (JA) project, which is one of CARE's Global Priority Initiatives. Through the implementation of Job Architecture, this project will...

  • Care Manager at

    2 weeks ago


    Nairobi, Nairobi Area, Kenya Imara Mediplus Medical Centre Full time

    The Imara Mediplus Centre is a multi-specialty outpatient medical facility, attended by doctors and specialists, focused on providing holistic all inclusive care.We create better lives, by providing access to world-class healthcare services with compassion.JOB SUMMARY:The Care manager is responsible for coordinating and facilitating patient care across...

  • Care Manager at

    6 days ago


    Nairobi, Nairobi Area, Kenya Avenue Healthcare Full time

    Avenue Hospital was founded in 1995 for the purpose of managing the outpatient department at the Hospital, and to extend medical services to corporate clientele through an innovative concept of Managed Healthcare.Mission:To provide high-quality care that exceeds our clients' expectations.Key Responsibilities:Conduct daily in-patient rounds of the specific...


  • Nairobi, Kenya CARE International Full time

    ABOUT THE COMPANYCARE is a global leader within a worldwide movement dedicated to ending poverty.JOB SUMMARYUnder the guidance and supervision of the Country Director, the Human Resources Manager is responsible for the formulation and transparent implementation of HR strategies and the effective delivery of HR services. He/she will assess client needs,...


  • Nairobi, Nairobi Area, Kenya CARE International Full time

    ABOUT THE COMPANYCARE is a global leader within a worldwide movement dedicated to ending poverty.JOB SUMMARYUnder the guidance and supervision of the Country Director, the Human Resources Manager is responsible for the formulation and transparent implementation of HR strategies and the effective delivery of HR services. He/she will assess client needs,...

  • Regional Change

    4 weeks ago


    Nairobi, Kenya CARE International Full time

    ABOUT THE COMPANYCARE is a global leader within a worldwide movement dedicated to ending poverty.JOB SUMMARYThe Regional Change & Deployment Manager for East & Central Africa (ECA) and Southern Africa (SA) Regionsis a role sitting within the Transformation team at CARE USA that has been created to deliver a number of high priority global projects...

  • County Director

    2 weeks ago


    Nairobi, Nairobi Area, Kenya CARE Full time

    Your Role: As Country Director, you will play a pivotal role in shaping the direction and impact of CARE's work in Kenya. Your responsibilities will include:Strategic Leadership: Designing and implementing organizational change processes to align with the CARE 2030 vision and global objectives. Developing and executing the CARE Kenya's country office CO...


  • Nairobi, Kenya Weza Care Solutions Full time

    We provide transitional services to children organizations in Kenya, empower charity services/organizations, and give a voice to the children who may not be heard or provided with opportunities. Overview: Are you a creative and dynamic Instructional Designer passionate about children thriving in safe, loving and sustainable families? We're seeking a...


  • Nairobi, Nairobi Area, Kenya CARE Full time

    CARE International is a major humanitarian agency delivering emergency relief and long-term international development projects.SummaryThe ideal candidate will understand the fundamentals of building and delivering advocacy strategy and implementation plan, can contribute to building this capacity with colleagues throughout the region; with experience...