Jobs
>
Nairobi

    EMC Case Management Assistant at - Nairobi, Kenya - Britam

    Britam
    Britam Nairobi, Kenya

    Found in: beBee S2 KE - 20 minutes ago

    Britam background
    Full time
    Description
    Britam is a leading diversified financial services group, listed on the Nairobi Securities Exchange.

    The group has interests across the Eastern and Southern Africa region, with operations in Kenya, Uganda, Tanzania, Rwanda, South Sudan, Mozambique and Malawi.


    Job Purpose:


    Controlling and Managing policies through case management to ensure quality and cost effective care, client service, provider management, processing and payment of claims.


    Key responsibilities:
    Set the appropriate parameters for each admission (claim reserve, initial authorized cost and duration).
    Interact with clients and service providers to ensure that the care is given within policy guidelines.
    Review medical reports and claims for compliance with set guidelines.
    Liaise with underwriters on scope of cover for the various schemes.
    Ensure that medical scheme members are attended to round the clock with support from 24 hour call centre.
    Discourage poly-pharmacy by diligently challenging of prescriptions and suggesting better alternatives as per medical practice.

    Encourage use of generics and cost effective quality drugs where indicated as a method of reducing the organizations pharmaceutical expenditure.

    Review documents and pertinent requirements regarding claims from providers and clients.

    Ensure that the claim made by the claimant is complete in form and complies with the documentary requirements of an insurance claim.

    Management of relationships with clients, intermediaries and service providers
    Verification and audit of outpatient and inpatient claims to ensure compliance and mitigate risk.
    Advice claimants regarding basic matters about their insurance coverage in relation to the insurance claim.

    Respond to both internal and external claims inquiries concerning claims process, service providers, and the filing/completion of proper forms.

    Record all claims transactions.
    Prepare claims registers for claims meetings and update the various claims reports.
    Track and follow up on receipt of necessary documents.

    Delegated Authority:
    As per the approved Delegated Authority Matrix.


    Knowledge, experience and qualifications required:
    Degree in Bachelor of Science in Nursing Sciences from a recognized university.
    Professional Nursing qualification KRCHN licensed by Nursing council of Kenya.
    At least two-year experience in case management and claims processing
  • Kenindia Assurance Company Limited

    Assistant Manager

    Found in: beBee S2 KE - 3 days ago

    Kenindia Assurance Company Limited Nairobi, Kenya Full time

    Kenindia Insurance Ltd, was established as merger of Indian Insurance Companies operating in Kenya to form a vibrant joint venture with moral and financial support from leading local business elite on 6th December 1978. · Main Purpose of the Job - (Job Summary) · As an Assistant ...

  • Kenindia Assurance Company Limited

    Assistant Manager

    Found in: beBee S2 KE - 3 days ago

    Kenindia Assurance Company Limited Nairobi, Kenya Full time

    Kenindia Insurance Ltd, was established as merger of Indian Insurance Companies operating in Kenya to form a vibrant joint venture with moral and financial support from leading local business elite on 6th December 1978. · Main Purpose of the Job - (Job Summary) · Implement the Co ...

  • Reeds Africa Consult

    Assistant Manager

    Found in: beBee S2 KE - 2 days ago

    Reeds Africa Consult Nairobi, Kenya Full time

    Reeds Africa consult (RAC) offers a broad scale of Human resource services designed to provide professional supports for the growing needs of today's corporate organizations · Job Summary: · Our client is looking for An ASSISTANT MANAGER - ACTUARIAL SERVICES who will be responsib ...

  • Reeds Africa Consult

    Assistant Manager

    Found in: beBee S2 KE - 2 days ago

    Reeds Africa Consult Nairobi, Kenya Full time

    Reeds Africa consult (RAC) offers a broad scale of Human resource services designed to provide professional supports for the growing needs of today's corporate organizations · Job Summary: · Our client is looking for An ASSISTANT MANAGER - RISK & COMPLIANCE who will be responsibl ...

  • Kenindia Assurance Company Limited

    Assistant Manager

    Found in: beBee S2 KE - 6 days ago

    Kenindia Assurance Company Limited Nairobi, Kenya Full time

    Kenindia Insurance Ltd, was established as merger of Indian Insurance Companies operating in Kenya to form a vibrant joint venture with moral and financial support from leading local business elite on 6th December 1978. · Main Purpose of the Job - (Job Summary) · Implement the ri ...

  • Minet Kenya

    Assistant Manager

    Found in: beBee S2 KE - 1 day ago

    Minet Kenya Nairobi, Kenya Full time

    Minet is a trusted pan-African advisor that meets the uncertainties of tomorrow by delivering risk and human capital solutions today. As the largest Aon Global Network Correspondent, Minet has access to a network of over 50,000 colleagues in 120 countries as well as proprietary d ...

  • Stellar Human Resource Solutions

    Assistant Manager

    Found in: beBee S2 KE - 3 days ago

    Stellar Human Resource Solutions Nairobi, Kenya Full time

    Old Mutual Kenya is based in Nairobi and is part of a larger group that offers solutions in long-term savings, asset management and investment. We offer solutions to individuals and corporates underpinned by our core values which are: Respect, Integrity, Accountability and Pushin ...

  • Fresh Life

    Assistant Manager

    Found in: beBee S2 KE - 12 hours ago

    Fresh Life Nairobi, Kenya Full time

    Fresh Life works with municipalities and urban residents to develop and scale safe, citywide inclusive and financially sustainable sanitation solutions in fast growing cities starting with Nairobi, Kisumu and Eldoret in Kenya. · About the role · Ensure timely payment processing t ...

  • And Beyond

    Assistant General Manager

    Found in: beBee S2 KE - 1 day ago

    And Beyond Nairobi, Kenya Full time

    Every day, over 2 000 &Beyonders set out to leave our world a better place by delivering an extraordinary guest experience. We have shared this ethos, of caring for the land, wildlife and people, since our inception in 1991; where a humble pledge was made in Africa and, now, appl ...

  • Africa Management Solutions Limited (AMSOL)

    Data Management Assistant at

    Found in: beBee S2 KE - 5 days ago

    Africa Management Solutions Limited (AMSOL) Nairobi, Kenya Full time

    Africa Management Solutions Limited (AMSOL) is the fastest growing Human Resources and Management consulting firm that offers an array of hr solutions tailored to accurately address all the human resource and management needs of any organization. · Summary · The Data management i ...

  • Habitat for Humanity

    Programme Management Assistant

    Found in: beBee S2 KE - 3 days ago

    Habitat for Humanity Nairobi, Kenya Full time

    JOB SUMMARY · CompetenciesPROFESSIONALISM: Knowledge of internal policies, processes and procedures generally and in particular those related to programme/project administration, technical cooperation, human resources, finance and budget. Ability to perform a broad range of admin ...

  • Rose Avenue Group

    Assistant Relationship Managers

    Found in: beBee S2 KE - 1 day ago

    Rose Avenue Group Nairobi, Kenya Full time

    Rose Avenue Consulting Group is a financial management, strategy and consulting firm that combines deep industry knowledge with specialized expertise in corporate finance, strategy and research. Together with our clients and partnering companies we address our client's most criti ...

  • UN-Habitat

    Programme Management Assistant at

    Found in: beBee S2 KE - 3 days ago

    UN-Habitat Nairobi, Kenya Full time

    The United Nations Human Settlements Programme, UN-Habitat, is the UN agency for human settlements. It is mandated by the UN General Assembly to promote socially and environmentally sustainable towns and cities with the goal of providing adequate shelter for all. · Responsibiliti ...

  • Genesis Analytics

    Assistant Project Manager at

    Found in: beBee S2 KE - 12 hours ago

    Genesis Analytics Nairobi, Kenya Full time

    Our purpose is to unlock value in Africa. We use our analytical capabilities to improve decision-making and, through better decisions, to unlock substantial value for our clients and society. While we are the largest economics-based consulting firm in Africa, we use a large numbe ...

  • Rose Avenue Group

    Assistant Relationship Managers

    Found in: beBee S2 KE - 2 days ago

    Rose Avenue Group Nairobi, Kenya Full time

    Rose Avenue Consulting Group is a financial management, strategy and consulting firm that combines deep industry knowledge with specialized expertise in corporate finance, strategy and research. Together with our clients and partnering companies we address our client's most criti ...

  • Rafiki Microfinance Bank

    Assistant Manager – Marketing

    Found in: beBee S2 KE - 2 days ago

    Rafiki Microfinance Bank Nairobi, Kenya Full time

    Rafiki Microfinance Bank is a place where creativity and positive ambition are infectious. We are restless to win, to meet the changing needs of our customers and unlock growth opportunities. · Purpose of the Job: · The main responsibility of the job holder will be to assist in t ...

  • African Wildlife Foundation

    Project Management Assistant at

    Found in: beBee S2 KE - 20 minutes ago

    African Wildlife Foundation Nairobi, Kenya Full time

    The African Wildlife Foundation, together with the people of Africa, works to ensure the wildlife and wild lands of Africa will endure forever. · Responsibilities: · Project Planning · Using information derived from project agreements between donors and AWF, assist in developing ...

  • Accor

    Assistant Lodge Manager at

    Found in: beBee S2 KE - 1 day ago

    Accor Nairobi, Kenya Full time

    Accor S.A. is a French multinational hospitality company that owns, manages and franchises hotels, resorts and vacation properties · Responsibilities · Support the Lodge Manager in the overall management and strategic direction of the hotel · Assist in the preparation of the annu ...

  • iSON Xperiences Limited

    Assistant Manager-Operations at

    Found in: beBee S2 KE - 2 days ago

    iSON Xperiences Limited Nairobi, Kenya Full time

    iSON Xperiences is a specialist in proactive customer engagement and customer xperience management, partnering with leading brands to optimize their customer xperience, revenue generation and business process management across the enterprise. · About Job · The Assistant Manager i ...

  • Department for General Assembly and Conference Management – DCS Nairobi

    Documents Management Assistant at

    Found in: beBee S2 KE - 4 days ago

    Department for General Assembly and Conference Management – DCS Nairobi Nairobi, Kenya Full time

    The United Nations Office at Nairobi (UNON) is the UN headquarters in Africa and the Director-General of UNON is the representative of the Secretary-General in Kenya. · Responsibilities · Within limits of delegated authority, Documents Management Assistants at this level are resp ...