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KCA University, Kenyatta University, Nairobi International School, Oasis Outsourcing, UNEPProfession
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Industry
Aeronautics,Agriculture, fishing, forestry,Automotive,Banking, microfinance, insurance,Communications, media, radio, tv,Computers, software development and services,Construction, renovation, maintenance,Consulting, business support, auditing,Data/Research,Education, academic,Electronics,Energy, utilities, environment,Engineering, architecture,Entertainment, events,Finance & FinTech,Financial Services,Governmental,Health care, medical,Housekeeping, maintenance,Human resources, talent development, recruiting,Legal, accounting,Manufacturing,Marketing, advertising,Non-profit, social work,Outsourcing, leasing,Real estate,Restaurant, hospitality, travel,Retail, wholesale, FMCG,Security,Telecommunications,Textile, fashion,Transportation, logistics, storage,
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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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