
Gladys Mwende Mbisi
Healthcare
About Gladys Mwende Mbisi:
I am a self- motivated nurse with 16 years’ experience currently working at Takaful Insurance of Africa as assistant care coordinator
Experience
Responsibilities include; - Ass Care Coordinator-Takaful Insurance of Africa.
- Controlling risk and reduced claim costs via coordinating the team in provision of prudent case management through hospital visits, referral assistance, and adherence to service level benchmarks.
- Initiating engagement and enrolling provider hospitals and specialists into company panel, resulting in negotiated procedure packages, including maternity cases, adenotonsilectomy, and orchidopexy.
- Conserving claim expenditure by:
- Assessing bills during admission and discharge to ensure treatment is consistent with illness and cost for items are in line with the market rate.
- Ensure hospitals and doctors adhere to admission procedures/ cost guidelines.
- Organized approval and counterchecking of the bills forwarded for payment.
- Monitor benefit utilization for schemes and communicate with the relevant parties
Education
Kenya Methodist University-Bachelor of Science in Nursing
Kenya Medical Training College-Diploma in Community Health Nursing
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