CfC Life assurance ltd, one of Kenya's premier Life Insurance companies, has provided insurance services to the nation for over 40 years and continues to write a range of Life and Health insurance products including ordinary life, group life, medical, pension and personal accident.
Our mission
We are a customer focused provider of relevant and affordable life, health and retirement products. Our highly motivated teams and efficient processes ensure accessibility of our products while continually growing our market share and maximizing on stakeholder value. That is why we are looking for a specialist to join our Health Insurance team.
ASSISTANT HEALTHCARE OFFICER
Main Purpose of the Job
Reporting to the Healthcare Services Manager, the Assistant Healthcare Officer's main purpose will be to ensure that our clients receive quality healthcare at an affordable price.
Key responsibilities.
- Maintain and review pre-authorization processes. This includes all admissions, referrals, fee negotiation, discharge planning and decisions on level of care.
- Maintain close working relations with sick members, panel of doctors and employer.
- Review of medical services for appropriateness and cost effectiveness based on established medical standards.
- Coordinate successful and cost effective outcomes which include rehabilitation treatment
- Clinical assessment and screening of invoices with treatment protocols to ensure fees charged are within agreed tariffs.
- Ensure providers have an updated member list every month to ensure smooth process.
- Continuous member education of medical insurance benefits and services.
- Maintain a good relationship with the healthcare service providers, brokers, agents and policy holders.
- Daily status reporting to the manager and respective team leaders
- Review utilization reports.
- Qualifications: Diploma in nursing / Clinical medicine
- Progress towards Diploma in insurance either ACII or AIIK
- Experience: 3 years in insurance High level computer skills
- Special Skills / competencies
- Strong personality with interpersonal sensitivity
- Good written and verbal communication skills
- Proactive Team player
- Strong negotiation skills
- Assertive and confident
- Self motivated
The Human resource Department
P. O Box 30364-00100
Nairobi
To reach us not later than 7th November, 2008.
Only short - listed candidates will be contacted.
