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Dec 19, 2017

Resolution Insurance Care Manager Job in Kenya

Resolution Insurance is a General Insurer offering innovative and responsive insurance solutions.

Resolution assures financial security and comfort by offering comprehensive insurance solutions in a dependable, reliable, and transparent manner. 

Today, Resolution Insurance offers a number of products namely Medical Plans, Travel Plans, Liability Plans, Property Covers, Motor Covers and all other classes of General Insurance in the markets where it operates.
We currently have over 100,000 members and have partnered with a robust network of over 800 medical service providers across East Africa, managing the diversified health insurance needs of corporates, social groups, families and individuals.
In keeping up with our recruitment needs, we are currently looking to fill the position below:

Care Manager

Reporting to the Head of Care Management & Medical Advisory, the Care Manager’s overall purpose is to monitor, evaluate and coordinate medical benefit utilization to ensure quality, appropriate and cost effective care.

Key Responsibility Areas:
  1. Pre-authorization of scheduled and non-scheduled admissions to ensure validity, legitimacy of admission, and advice on cover scope.
  2. Liaise with physicians to obtain RI client medical reports to ensure they are getting optimal, quality care as most appropriate.
  3. Negotiate professional fees for each admission to ensure clients are receiving cost effective care within the scope of their cover.
  4. Manage the 24-hour helpline and ensure client enquiries are sorted to satisfaction and assist with medical emergencies logistics.
  5. Visit all admitted clients as part of company PR and to ensure the clients are getting appropriate satisfactory care.
Qualifications and Experience:
  • Degree/Higher National Diploma in Nursing or Clinical Medicine.
  • KRCHN Registration.
  • At least 1-3 years relevant working experience.
  • Good interpersonal, communication and negotiation skills.
  • Basic knowledge of computers and office operating programmes.
Desired Skills and Qualities
  • Experience in an Insurance company.
  • A valid driving license.
  • Proven ability to build strong client relationships and maintain an excellent customer focus.
How to Apply

If you believe you are a team player and would be a valuable resource to this ever growing brand, kindly send your application letter and C.V. to [email protected] by Close of Business Friday, 29th December

Only shortlisted candidates will be contacted.

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