KEY ROLES AND RESPONSIBILITIES<\/p>\n
Care Management<\/p>\n
\tManning calls on the 24-hour medical emergencies help lines
\n\tFacilitate approval and authorisation for Emergency Inpatient hospitalisation e.g. post road traffic accidents from the insurance companies\/underwriters.
\n\tOutpatient treatment authorisation (off smart\/ no card)
\n\tFacilitate evacuation processes to ensure favourable outcomes and reasonable charge to clients.
\n\tPreauthorization request processing and hospital procedure booking including maternity and theatre procedure bookings.
\n\tLiaising with the Insurance companies in the process of undertaking and pre-authorizations.
\n\tProvider panel management \u2013 ensuring required facilities are onboarded and favourable relationship is always maintained.
\n\tAdvocating for clients
\n\tNegotiation of borderline claims
\n\tSupport with overseas referral
\n\tOffer dedicated services to clients at their premises.<\/p>\n
Reporting<\/p>\n
\tProvide data reports collected from various monitoring tools assigned to the role e.g. weekly and\/or monthly reports.
\n\tTrend analysis \u2013 hospital charges, cost of various packages etc<\/p>\n
Value Adds<\/p>\n
\tFacilitation of admission and discharge processes for patients by securing all necessary documents and ensuring minimal participation by the patient during the admission or discharge.
\n\tFacilitation of special care for admitted patients e.g haircuts for executive clients at the bed side\/ flowers.
\n\tIssuing Zamara gift packs – pack of diapers, branded get well \/ birth congratulations to admitted patients.<\/p>\n
SKILLS AND QUALIFICATIONS\u00a0<\/p>\n
\tA Diploma in Nursing Sciences\/ Clinical medicine
\n\tMinimum of one (1) year working in a hospital set up\/ health facility\/medical insurance care department
\n\tGeneral understanding of the insurance industry is an added advantage.
\n\tCapacity to build relationships
\n\tBusiness etiquette
\n\tExcellent interpersonal and customer service skills
\n\tTeam player
\n\tProblem Solving skills
\n\tSelf-Driven
\n\tFlexible to train<\/p>\n
Apply Through:<\/p>\n
zamara.bamboohr.com<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","meta":{"_promoted":"","_job_location":"","_application":"http:\/\/zamara.bamboohr.com","_company_name":"Zamara Kenya","_company_website":"http:\/\/www.zamara.co.ke","_company_tagline":"Zamara is a financial services firm that primarily offers Actuarial Services, Pensions Administration and Consulting and Insurance Brokerage Services. Zamara has been in the Kenyan Market for over 23 years, initially operating as Hymans Robertson and more recently as Alexander Forbes. Working at ... read moreZamara offers our people the opportunity to work for a Truly Pan-African Financial Services firm. Our Values - Simplicity, Empathy and Trust, set a solid foundation for an environment that awards achievement and appreciates hard work, innovation and high levels of professionalism across all departments. We have an strong coaching and mentorship approach that enables us continuously grow our people.","_company_twitter":"","_company_video":"","_filled":0,"_featured":0,"_remote_position":0,"_job_salary":"","_job_salary_currency":"","_job_salary_unit":""},"job_listing_region":[772],"job-categories":[710,727,708,714],"job-types":[687],"class_list":{"0":"post-89829","1":"job_listing","2":"type-job_listing","3":"status-publish","4":"hentry","5":"job_listing_region-mombasa","7":"job-type-full-time"},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job-listings\/89829","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job-listings"}],"about":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/types\/job_listing"}],"author":[{"embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/users\/2"}],"wp:attachment":[{"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/media?parent=89829"}],"wp:term":[{"taxonomy":"job_listing_region","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job_listing_region?post=89829"},{"taxonomy":"job_listing_category","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job-categories?post=89829"},{"taxonomy":"job_listing_type","embeddable":true,"href":"https:\/\/jobs.dataaxisnode.com\/kenya\/wp-json\/wp\/v2\/job-types?post=89829"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}