Clinical Claims Review Senior Analysts

Job PurposeControl and managing of the policy cycle through pre-authorization and case management, to ensure quality and cost effective care.Key ResponsibilitiesEnsure all received claims are vetted and released to finance on time (Credit and reimbursement claims).Set the appropriate parameters for each admission and claims for IP and OP (claim reserve,...

You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.To be successful as a claim's processor, you should have excellent organizational and interpersonal skills. You...

You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments.To be successful as a claim's processor, you should have excellent organizational and interpersonal skills. You...

Job PurposeTo oversee and coordinate all pre-authorization, admission, discharge, and care coordination activities, ensuring quality patient care while managing medical costs and provider relationships effectively.Key ResponsibilitiesOversee medical case management and pre-authorizations.Ensure timely and appropriate approvals for inpatient and outpatient...

The job profile for this position is Claims Representative, which is a Band 1 Professional Career Track Role.Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we...

Lets Write Africa's Story TogetherOld Mutual is a firm believer in the African opportunity and our diverse talent reflects this.Job DescriptionThe Contact Centre Clinical Executive is responsible for delivering efficient, accurate, and professional customer support through multiple communication channels, including phone calls, email, and other available...

Lets Write Africa's Story Together Old Mutual is a firm believer in the African opportunity and our diverse talent reflects this.Job DescriptionThe Contact Centre Clinical Executive is responsible for delivering efficient, accurate, and professional customer support through multiple communication channels, including phone calls, email, and other available...

Job Title: Director, Clinical Laboratory OperationsLocation: IAVI - Africa: Nairobi, Kenya, Cape Town, South Africa; OR Remote South Africa, consideredReports to: Senior Director, Clinical Immunology and Lab OperationsIAVI is seeking a Director, Clinical Lab Operations to lead IAVI's lab operations in Africa. The Director will lead logistical, technical, and...

SC JOHNSON IS A FIFTH-GENERATION FAMILY COMPANY BUILT ON THE SPIRIT OF OUR PEOPLE. We have been leading with purpose for over 130 years, building iconic brands that win the hearts and minds of consumers – such as Raid, Glade, Ziploc and more, in virtually every country around the world. Together, we are creating a better future – for the planet, for...

Role- Senior Data AnalystDepartment - Data AnalyticsReports to -Data Analytics ManagerLocation- NairobiJob SummaryOur business is growing rapidly. In this context, we are looking for an enthusiastic, experienced, and highly technical Senior Data Analyst with a primary focus on complex analytics to join our Data Analytics team. The successful candidate will...