Current jobs related to Case Management Officer - Nairobi, Nairobi Area - Britam

  • Senior House Officer, AKUH(ON) A&E

    1 week ago

    Nairobi, Nairobi Area, Kenya Aga Khan University Full time 70,000 - 120,000 per year

    Senior House Officers/Medical Officers DepartmentAccident and EmergencyEntityAga Khan University Hospital, Nairobi LocationNairobi, KenyaIntroductionAga Khan University Hospital, Nairobi is a private not-for-profit teaching hospital that provides tertiary and secondary level healthcare services. It is the first hospital in East Africa to be accredited by...

  • Regional Compliance Manager

    4 days ago

    Nairobi, Nairobi Area, Kenya Bridge Talent Management Full time 1,200,000 - 3,600,000 per year

    Job SummaryA leading asset finance company dedicated to empowering individuals and businesses through innovative and inclusive financial solutions as well as providing affordable financing options across East Africa and is seeking a proactive and experienced Regional Compliance Officer to strengthen its risk and compliance framework.This role is ideal for a...

  • Regional Compliance Manager

    2 days ago

    Nairobi, Nairobi Area, Kenya Bridge Talent Management Full time 900,000 - 1,200,000 per year

    Job Summary A leading asset finance company dedicated to empowering individuals and businesses through innovative and inclusive financial solutions as well as providing affordable financing options across East Africa and is seeking a proactive and experienced Regional Compliance Officer to strengthen its risk and compliance framework. This role is...

  • Business Development Officer

    1 week ago

    Nairobi, Nairobi Area, Kenya Ideon Limited Full time $70,000 - $120,000 per year

    Role OverviewThis role involves driving client acquisition and growth through both digital and conventional business development initiatives. The officer will position the company as the leading ethical and technology-driven debt recovery and customer experience partner in Kenya.Key ResponsibilitiesDevelop and Implement Business Development StrategiesCreate...

  • Human Resources Officer

    4 days ago

    Nairobi, Nairobi Area, Kenya Saint-Gobain Africa Full time 1,200,000 - 2,400,000 per year

    We are seeking a highly capable and service-oriented Human Resources Officer to support our dynamic team based in Nairobi, Kenya. In this role, you will be the first point of contact for HR-related matters, ensuring smooth and efficient delivery of core HR functions such as recruitment, onboarding, employee relations, and compliance. You will work closely...

  • Legal Counsel

    2 weeks ago

    Nairobi, Nairobi Area, Kenya Watu Full time $104,000 - $130,878 per year

    Job Title- Legal CounselReporting to - Legal ManagerDepartment - LegalJob PurposeLegal Counsel is responsible for management of civil and criminal court cases, maintenance of the litigation database and assisting in case investigation and assessment on behalf of the company. The position ensures that the company's dispute resolution mechanisms are effective...

  • Legal Counsel

    1 week ago

    Nairobi, Nairobi Area, Kenya Watu Full time $70,000 - $120,000 per year

    Job Title- Legal Counsel Reporting to - Legal Manager Department - Legal Job Purpose Legal Counsel is responsible for management of civil and criminal court cases, maintenance of the litigation database and assisting in case investigation and assessment on behalf of the company. The position ensures that the company's dispute resolution...

  • Legal Counsel

    2 weeks ago

    Nairobi, Nairobi Area, Kenya Watu Credit Full time $70,000 - $120,000 per year

    Job Title- Legal CounselReporting to - Legal ManagerDepartment - LegalJob PurposeLegal Counsel is responsible for management of civil and criminal court cases, maintenance of the litigation database and assisting in case investigation and assessment on behalf of the company. The position ensures that the company's dispute resolution mechanisms are effective...

  • Assistant Recovery Manager Position

    2 weeks ago

    Nairobi, Nairobi Area, Kenya Mwananchi Credit Limited Full time $70,000 - $120,000 per year

    ResponsibilitiesPortfolio Monitoring & Risk ControlMonitor overdue loan accounts and flag early warningTrack PAR (Portfolio at Risk) across different aging categories g Watch, Substandard, Doubtful and lossEnsure accurate recovery records and timely updates in theSupervision & Team SupportAssist the Head of Collections & Recovery in supervising recovery...

  • Automotive Showroom Branch Manager

    2 days ago

    Nairobi, Nairobi Area, Kenya Bridge Talent Management Full time 1,200,000 - 2,400,000 per year

    Job Summary ​ We are seeking an experienced and results-driven Showroom Branch Manager to oversee the daily operations and performance of one of our retail branches. The role is responsible for ensuring sales growth and profitability, excellent customer experience, staff management and training, stock control, showroom merchandising, compliance with...

Case Management Officer

2 weeks ago

Nairobi, Nairobi Area, Kenya Britam Full time 900,000 - 1,200,000 per year
Job Purpose

Key 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.

Key Performance Measures
  • As described in your Personal Score Card.
  • 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.

Technical/ Functional Competencies
  • Knowledge of insurance regulatory requirements.
  • Knowledge of insurance products.
  • Sales and marketing management skills.

Primary Location

Organization

Job Type

Shift

Contract Type

Job Posting

Unposting Date

Number of Openings