Case Management Officer

2 months ago


Nairobi, Nairobi Area, Kenya Britam Insurance Full time

ABOUT THE COMPANY

We are a diversified financial group, listed on the Nairobi Securities Exchange, with interests across the Eastern Africa region. We offer a wide range of financial products and services in insurance, asset management, banking and property, with offices in Kenya, Uganda, Rwanda, South Sudan; and presence in Mozambique, Malawi and Tanzania, following the acquisition of Real Insurance in 2014. The product range includes: life, health and general insurance, pensions, unit trusts, investment planning, wealth management, off-shore investments, retirement planning, discretionary portfolio management, Property development and private Equity.Our Mission is to provide outstanding financial services to our customers.Our Vision is to be the most trusted financial service partner.We aim to provide our clients, with an unmatched offering, ensuring first class solutions that help secure the future.

JOB SUMMARY

Knowledge, experience and qualifications required Diploma/Degree in Nursing or Diploma in clinical medicine or Diploma in Pharmacy.Progress in Professional qualification in Insurance (ACII, FLMI or IIK).3-6 years' experience in case management.Proven experience in managing and nurturing client relationships.Track record of achieving client satisfaction and retention targets.

RESPONSIBILITIES

Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).Interact with clients and service providers to ensure that the care is given within policy guidelines.Review medical reports and claims for compliance with set guidelines.Liaise with underwriters on scope of cover for the various schemes.Ensure that medical scheme members are attended to round the clock with support from 24 hour call centre.Poly-Pharmacy – discourage poly-pharmacy by diligent challenging of prescriptions and suggesting better alternatives.Generic substitution – Encourage use of generics where indicated as a method of reducing the organizations pharmaceutical expenditure.Prepare periodic reports for management on medical claims.Ensure claims are processed within the stipulated time.Delegated Authority: As per the approved Delegated Authority Matrix.

REQUIRED SKILLS

Reporting, Accounting, Auditing of accounts, Bookkeeping, Credit handling, Financial reporting, Handling claims, CPA certification, Accounting IT-systems (use of), Payment collection

REQUIRED EDUCATION

Bachelor's degree



  • Nairobi, Nairobi Area, Kenya Jubilee Insurance KE Full time

    ABOUT THE COMPANYJubilee Insurance was established in August 1937, as the first locally incorporated Insurance Company based in Mombasa in 1937. Jubilee Insurance has spread its sphere of influence throughout the region to become the largest Composite insurer in East Africa, handling Life, Pensions, general and Medical insurance. Today, Jubilee is the number...

  • Case Manager at

    3 months ago


    Nairobi, Nairobi Area, Kenya Beacon of Hope Vocational Training College Full time

    Beacon Of Hope- is a registered Faith based and community non-governmental OrganisationPosition Summary:This position contributes to SEE goal "Transformed individuals, families and communities through spiritual, physical, economic and social empowerment who embrace progressive values, and engage in productive, gainful and sustainable activities''.Key...


  • Nairobi, Nairobi Area, Kenya Britam Full time

    ABOUT THE COMPANYBritam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the Eastern and Southern Africa region, with operations in Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique and Malawi. The group offers a wide range of financial products and services in Insurance,...


  • Nairobi, Nairobi Area, Kenya Britam Full time

    ABOUT THE COMPANYBritam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the Eastern and Southern Africa region, with operations in Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique and Malawi. The group offers a wide range of financial products and services in Insurance,...


  • Nairobi, Nairobi Area, Kenya Britam Full time

    Britam is a leading diversified financial services group, listed on the Nairobi Securities Exchange. The group has interests across the Eastern and Southern Africa region, with operations in Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique and MalawiJob Purpose:Reporting to the Assistant Manager Case & Provider Management, the role holder will be...


  • Nairobi, Nairobi Area, Kenya Old Mutual Kenya Full time

    Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment.We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushing beyond boundaries.SUMMARYTo control and manage medical benefit utilization...


  • Nairobi, Nairobi Area, Kenya PATH Full time

    PATH is an international organization that drives transformative innovation to save lives and improve health, especially among women and children.Roles and Responsibilities:Provide overall technical guidance and leadership for implementation of Malaria Case Management Activities. Provide leadership for Quality Assurance and Quality Improvement Measures in...


  • Nairobi, Nairobi Area, Kenya Jhpiego Full time

    Jhpiego, an affiliate of Johns Hopkins University is implementing The Challenge Initiative (TCI), a project funded by Bill and Melinda Gates Foundation (BMGF) through The Bill & Melinda Gates Institute for Population and Reproductive Health (GI), Department of Population, Family & Reproductive Health at the Johns Hopkins Bloomberg School of Public...

  • Resettlement Officer

    3 weeks ago


    Nairobi, Nairobi Area, Kenya HIAS Refugee Trust of Kenya Full time

    ABOUT THE COMPANYHIAS Africa delivers holistic protection to refugees and other forced migrants at heightened risk in Africa, through direct assistance, capacity building and advocacy in partnership with governments, other entities and beneficiaries.JOB SUMMARYQUALIFICATIONS & REQUIREMENTS:University Degree in Law.Must be an Advocate of the High Court of...

  • Resettlement Officer

    3 weeks ago


    Nairobi, Nairobi Area, Kenya HIAS Refugee Trust of Kenya Full time

    HIAS is the global Jewish nonprofit organization that protects refugees—including women and children, and ethnic, religious, and sexual minorities—whose lives are in danger for being who they are.POSITION SUMMARY:HIAS seeks to recruit a Resettlement Officer who will be expected to contribute towards meeting the departmental goals, aimed at promoting...

  • Resettlement Officer

    3 weeks ago


    Nairobi, Nairobi Area, Kenya Corporate Staffing Services Full time

    NGO job vacancies in Kenya. HIAS is the global Jewish nonprofit organization that protects refugees—including women and children, and ethnic, religious, and sexual minorities—whose lives are in danger for being who they are.Click To Read>>CV In Kenya: 4 Effective Tips If You Want to Change CareerPosition Summary:HIAS seeks to recruit a Resettlement...

  • Internal Audit

    3 months ago


    Nairobi, Nairobi Area, Kenya Brites Management Full time

    Brites Management Services Limited is one of the best leading Recruitment and HR consultancy companies in Nairobi, Kenya. We are registered and incorporated under Companies Act (Cap. 486) and we provide a complete range of HR Solutions.Salary Range : KSh 100,000 - KSh 150,000/monthDuties and Responsibilities Documentation and review of all existing processes...

  • Care Manager at

    2 months ago


    Nairobi, Nairobi Area, Kenya AAR Insurance Full time

    AAR Insurance is a licensed financial services provider in Kenya and a member of the Association of Kenya Insurers (AKI) with presence across the country through its intensive branch and broker network.Overall Purpose of the JobReporting to the Supervisor Case Management, the Care Manager will ensure quality and efficiency in case management as well provide...

  • HR Officer

    3 months ago


    Nairobi, Nairobi Area, Kenya Brites Management Full time

    Brites Management Services Limited is one of the best leading Recruitment and HR consultancy companies in Nairobi, Kenya. We are registered and incorporated under Companies Act (Cap. 486) and we provide a complete range of HR Solutions.Salary Range : KSh 50,000 - KSh 100,000/monthDuties and Responsibilities Assist with the recruitment process, including job...


  • Nairobi, Nairobi Area, Kenya Brites Management Full time

    Brites Management Services Limited is one of the best leading Recruitment and HR consultancy companies in Nairobi, Kenya. We are registered and incorporated under Companies Act (Cap. 486) and we provide a complete range of HR SolutionsDUTIES AND RESPONSIBILITIESOversee daily front desk operations, including managing room reservations, guest check-ins/outs,...

  • Care Manager

    2 months ago


    Nairobi, Nairobi Area, Kenya AAR Insurance Full time

    ABOUT THE COMPANYWith close to 200,000 members in East Africa today, we are the preferred health insurance provider for both the public and private sectors across the country and the East African region today. In our everyday business, and guided by our vision, mission and values, AAR Insurance seeks to be the most trusted insurance company for Africa that...


  • Nairobi, Nairobi Area, Kenya Bridge Talent Management Full time

    One HR information system to manage your employees' entire employment lifecycle. Build an incredible workplace and grow your business with our all-in-one platform.Role Statement Purpose:Directly supervises all front office personnel and ensures proper completion of all front office duties. Directs and coordinates the activities of the front desk,...


  • Nairobi, Nairobi Area, Kenya RefugePoint Full time

    Worldwide, there are now over 60 million forcibly displaced people - the highest number ever recorded. Of those, approximately 20.2 million are refugees who have fled their home countries as a result of conflict and violent persecution.Main purpose of the position: The Social Work Manager shall support the Social Workers and the Food Program Officer in...


  • Nairobi, Nairobi Area, Kenya Radisson Hotel Group Full time

    ABOUT THE COMPANYRadisson Hotel Group is a leading hospitality company serving as a true host and best partner to guests, owners, business partners and talent. Our seven unique hotel brands offer award-winning and exceptional hotel experiences, originating from our strong Scandinavian heritage of design and innovation. Our brands embody our modern vision of...

  • Legal Officer at

    4 weeks ago


    Nairobi, Nairobi Area, Kenya CDL Human Resource Full time

    CDL was founded in early 2003 by its current Managing Director Lucy Mmari.Within her 14 year tenure in a well established logistics company, She honed her skill in human resources management and thereafter started CDL.Duties and Responsibilities Study matters and advice the company on their legal implications Prepare business contract documents and review...