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APA Life Insurance Limited
Care Assessor
Nairobi • Kenya
Closed for applications
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APA Life Insurance LimitedProfession (Banking, microfinance, insurance)
Accounting, finance, banking, insurance,Administrative, clerical,Business, strategic management,Customer support, client care,Human resources,Information technology, software development, data,Manufacturing, operations, quality,Media, communications, languages,Medical, health,Project, program management,Sales, marketing, promotion,
Industry (Human resources)
Seniority (Human resources, Banking, microfinance, insurance)
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APA Life Insurance Limited
Banking + 2 more
Description
ACADEMIC QUALIFICATIONS
- Bachelor’s degree in relevant degree
- Leadership skills
- Interpersonal and Communication skills
- Analytical skills
- Relevant professional qualification
- At least 4 years’ relevant experience
Responsibilities
- Reviewing and issuing pre-authorization;
- Handling the 24hour call center (cell phones /office lines) and responding to clients queries as they arise;
- Interacting with clients, brokers, clinicians, APA relationship officers and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy;
- Conducting hospital visits to assess patient’s care throughout continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship;
- Reporting adverse occurrences relating to clients’ management, policy with appropriate action to ensure compliance with quality patient care;
- Coordinating step down management and referrals for all clients with chronic diseases;
- Participating in health talks/wellness camps and service meetings;
- Participating in company CSR and brand building activities in liaison with other departments.
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